Private ADHD Titration

There is a national shortage of medications to treat ADHD symptoms. This is due to manufacturing problems and a growing global demand.

Our service provides private ADHD titration for adhd instead of waiting for NHS funding via Right to Choose. Our assessment fees include the cost of one prescription.

Titration

A comprehensive assessment of your ADHD symptoms will be conducted by a highly experienced consultant Psychiatrist. This includes a complete medical history, and an evaluation using the typical ADHD questionnaires and rating scales.

After your assessment You will be advised that medication may be beneficial for your situation. This will be discussed at your follow-up appointment (which can be done in person by video link, in person or by phone). Your physician will explain to you what medication options are available and, if you decide to begin taking medication, we will offer to titrate the dose to maximize the benefits/side effects balance for you.

This process may take several weeks and it involves gradually altering your child's dosage until the appropriate balance has been achieved. It is not uncommon to have to titrate as high as three different medicines before you find the one that is most suitable for your child's ADHD. It is essential for parents to take part in this process of titration and keep a close watchful eye on their child's behavior so that they can inform the doctor whether the medication is helping or causing adverse effects.

Unless you have decided to return to NHS treatment the medication you take will be provided with an individual prescription that you'll have to pay for at the pharmacy (this is not included in the consultation fee). You must attend six-monthly appointments to monitor your medication. This includes the measurement of pulse and blood pressure. Annual reviews are also required.

Follow-up appointments

Once the assessment has been completed, you'll be able to schedule appointment with the psychiatrist as necessary. The appointment is typically conducted by video conference using zoom. However, in some cases, it may be possible for an audio-only appointment to be scheduled (again with an additional cost).

We will then go over treatment options and choose a bespoke, individualised ADHD medication titration. This will include a review of your medication dosage as well as a discussion around any adverse effects you may be experiencing. The cost for these titration consultations is PS150 for face-to-face sessions and PS60 for online or telephone video consultations. Costs for medication are extra and are paid directly to the pharmacy.

The psychiatrist will also ask you about your family history and the impact that your ADHD symptoms impact your life, including any issues with your relationships that you may be having or other mental health issues you may be suffering from. This is due to the fact that ADHD can be an inheritable condition, and it is essential to look into any family history that might indicate that you're at risk of developing the disorder.

During the assessment, it is vital to be truthful and open with the doctor who will be using the information you provide to determine if you meet the diagnostic criteria for ADHD. This is a vital step in the process, because if you don't do it, it could result in an inaccurate diagnosis and therefore inappropriate prescribing of medication.

If you've decided that you would like to be treated for your ADHD We will arrange a follow up appointment with one of our psychiatrists that specialize in this field. This can be scheduled at the time of your diagnosis if you are eager to begin treatment immediately, or within two weeks if would like more time to consider the implications of your diagnosis and the alternatives that are available to you.

If you are unsure of what you would prefer it is recommended that you talk to your GP prior to scheduling your private appointment as certain providers have different policies regarding whether they require the submission of a GP referral letter or not. We also suggest to confirm that your GP accepts a "Shared-Care Agreement', which means that after you have been discharged from the clinic, you will be sent back to them to get the medication prescription.

Medication

For many people who want an individual diagnosis of ADHD, medication is a key aspect of their journey. It isn't easy to obtain an appointment with a psychiatrist on the NHS. NHS waiting lists can be extremely long, and GPs may be reluctant to refer patients to specialist services.

One method to avoid this is to ask your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). This means that you can select an organization that offers an assessment and titration service. This can cut down on wait time significantly and is more convenient when you are working and have a busy schedule.

If you are referred, your clinician will examine your condition to determine if you require medication titration. You will be asked to fill in forms that vary by provider but the main ones are self-report questionnaires and medical histories from childhood and adulthood. These forms will help your clinician determine if there are factors that could mean you shouldn't be taking ADHD medication, even if they have been prescribed.

If you are being titrated the medication will consist of stimulants and nonstimulant medications. They will be carefully tested and monitored to find the best combination for you, taking into account any medical conditions you may have. The titration can be a lengthy process and may require multiple appointments before your dose is stable.

The frequency of your follow-up appointments is contingent on the type and quantity of medication you're taking. They could be scheduled monthly or quarterly. This will include your physician making sure that you are stable on the medication, noting any adverse effects you've experienced, and making any adjustments needed to ensure that you're on a dose that is safe. You'll also have to undergo a regular health check which can include blood pressure and pulse readings, as well as weight and weight measurements as well as an annual check-up.

For some people it could be because they are satisfied with their medication and don't require any further discussion on their titration. If you need to discuss your titration or treatment plan more thoroughly, it is possible that you will be referred back to the private doctor who made your initial assessment. In this scenario, the titration will be included in the consultation cost. The medication will then be provided through a private prescription. This can cost more than an NHS prescription because the pharmacy will charge for the medication.