Private ADHD Titration

There is a current national shortage of medication to treat ADHD symptoms. This is due to manufacturing issues and the growing demand for ADHD medications worldwide.

Our service is private adhd medication Titration ADHD treatment instead of waiting for NHS funding through Right to Choose. Our fees for assessments include the cost of one prescription.

Titration

A thorough assessment of your ADHD symptoms will be carried out by an experienced consultant Psychiatrist. This will include a medical history and an assessment using the common ADHD rating scales and questionnaires.

After your evaluation, you will be advised whether medication may be beneficial in your particular situation. The discussion will take place at your follow-up appointment (which could be in person, by video link or by phone). Your doctor will explain what medication options are available and if you decide to begin taking medication, we will offer to titrate the dose to maximize the balance of benefits and side effects for you.

This is a process which may take several weeks, and involves adjusting your child's medication slowly until the right balance is achieved. It's not uncommon to to adjust up to three different medications before you find the one that best suits your child's ADHD. It is essential that parents take part in the titration and be on the lookout for their child's behavior so that they can inform the doctor if the medication is helping or causing adverse effects.

If you decide to go back to NHS treatment, you will receive an individual prescription for your medication. You will be required to pay the pharmacy. This is not included in the consultation cost. You will need to keep up with your appointments every six months to monitor your medications. This includes pulse and blood pressure measurements. Annual reviews are also required.

Follow-up appointments

Once the evaluation has been completed, you will be able to make follow-up appointments with the psychiatrist as necessary. The appointment usually takes place via a zoom video call however in some instances it might be possible to do an audio only consultation (again at an extra cost).

We will then go over treatment options and decide on the most appropriate, customized ADHD medication titration. This will include a discussion and review of your medication dose and any side effects that you might be experiencing. These titrations cost PS150 for face-to-face sessions and PS60 by video or phone consultation. The pharmacy will charge you for any cost of medication.

The psychiatrist will ask questions regarding your family history as well as the impact of your ADHD symptoms on your daily life and any relationship problems or mental health issues you may be experiencing. This is because ADHD is a genetic disorder and it is crucial to look into any family history that could indicate that you're at risk of developing the disorder.

It is crucial to be honest and transparent to the doctor during this assessment, as the information they get will be used to determine if your ADHD is in line with the diagnostic criteria. This is an important step because an incorrect diagnosis could result in an inappropriate prescription of medication.

If you have decided that you would like to receive treatment for your ADHD We will arrange a follow up appointment with one of our psychiatrists who specialise in this field. If you'd like to begin treatment right away you can start treatment when you are diagnosed. You can also wait for two weeks before considering the implications of the diagnosis and the options available to you.

We suggest that if are unsure about your preferences, you talk to your GP prior to booking your private examination. Some providers have different policies regarding whether or not they require a GP letter. We also suggest to check if your GP accepts a "Shared-Care Agreement that means that once discharged from the clinic, you will be referred back to them for the prescription for the medication.

Medication

For many people who seek an official diagnosis of ADHD, medication is an important part of their journey. Getting a prescription from an NHS psychiatrist can be difficult and time-consuming. NHS waiting lists are notoriously long and GPs may be reluctant to refer patients on to specialist services.

One method to avoid this is to request 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 will cut down your waiting time significantly and is more convenient when you are working and have a busy schedule.

After you have been diagnosed, your doctor will evaluate you to determine if require medication adjustment. You will need to complete forms that are different for each provider however the most commonly used ones are self-reporting questionnaires and medical histories going to childhood and adulthood. These will help your clinician identify any factors that might suggest you should not take ADHD medication if prescribed.

If you are being titrated on medication, this will usually include a mix of non-stimulant and stimulant medications. They will be carefully tested and monitored to find the most effective combination for you, taking into consideration any medical conditions you may have. The titration process can be long and could require a few extra appointments before you're able to stay on your dosage.

Depending on the kind of medication you are taking, follow-up appointments can be scheduled either monthly or quarterly. Your physician will make sure that you are stable with the medication, record any side effects you have experienced and make any needed adjustments to ensure that you remain on a dose that is safe. You'll also have to undergo a regular health check which can include blood pressure readings, pulse and weight and an annual check-up.

For some, it may be that they are happy with their medication and don't need a further discussion about their titration. If you need to discuss your titration plan or treatment plan in more detail it is likely that you'll be referred back to the private doctor that performed your initial evaluation. If this occurs, the titration appointment will be part of their consultation fees and they will be given their medication through an individual prescription (see Consultation fees above). This may cost more than prescriptions from the NHS, as the pharmacy will charge you for the medication.