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Private ADHD Titration

There is currently a nationwide shortage of medications to treat ADHD symptoms. This is due to manufacturing issues and a growing global demand.

Our service provides private titration adhd ADHD treatment instead of waiting for NHS funding through Right to Choose. Our assessment fees cover the cost of a single prescription.

titration process adhd

A highly experienced psychiatrist consultant will conduct a comprehensive assessment of your ADHD. This will include an examination of your medical history as well as an assessment using the common ADHD rating scales and questionnaires.

Following your assessment you will be advised if medication is considered to be beneficial in your particular situation. This will happen at your follow-up appointment (which could be in person via video link or by telephone). Your clinician will explain the different options available for you to take medication and, if you decide to start on medication we will recommend titrating dosage to ensure the balance of benefits and side effects for you.

This is a process which can take several weeks. It involves adjusting your child's medication gradually until the proper balance is achieved. It's not uncommon to have to titrate three or four medications before determining the most effective one for your child's ADHD symptoms. It is essential that parents are involved in the titration process and be on the lookout for their child's behavior, so they can inform doctors whether the medication is helping or causing adverse effects.

Unless you have decided to return to NHS treatment and have decided to return to NHS care, your medication will be provided with a private prescription which you'll have to pay for at the pharmacy (this is not included in your consultation fee). You will need to attend six-monthly appointments to check your medication. This includes the measurement of pulse and blood pressure. Annual reviews are also mandatory.

Follow-up appointments

After the evaluation is completed and you are satisfied, you can schedule follow-up appointments with your psychiatrist. The appointment is usually done by video conference using zoom. However, in some cases, it may be possible to have an audio-only appointment to be scheduled (again at an additional cost).

We will then discuss the options for treatment and then decide on a bespoke, individualised ADHD medication adjustment. This will include an assessment of your medication dosage as well as a discussion of any possible side effects you might be experiencing. The cost of these titration sessions is PS150 for face-to-face sessions and PS60 for telephone or online video consultations. The pharmacy will charge you for any medication costs.

The psychiatrist will ask questions about your family history as well as the impact of your ADHD symptoms on your life, and any mental health issues that you might be suffering from. ADHD can be a genetic condition, so it's important to examine your family history in order to determine if you're at a higher risk of developing this disorder.

It is important that you are honest and transparent with your doctor during this assessment, as the information they gather will be used to determine if your ADHD fits the diagnostic criteria. This is an essential step in the process, as failing to do so could result in an incorrect diagnosis, and thus an incorrect prescribing of medication.

If you've decided that you'd like to receive treatment for your ADHD, we will then set up a follow-up appointment with one of our psychiatrists who specialise in this area. If you'd like to start treatment right away it is possible to start treatment at the time of diagnosis. You can also wait two weeks to consider the implications of the diagnosis and what options you have.

We recommend that if you are unsure of your preferences, talk with your GP prior to booking your private appointment. Some providers have different guidelines regarding whether they require an GP letter. Check if your GP accepts a Shared Care Agreement, which means you will be referred to them after you leave the clinic to get a medication prescription.

Medication

For many people who want an individual diagnosis of ADHD medication is a crucial aspect of their journey. It can be difficult to get an appointment with a psychiatrist on the NHS. NHS waiting lists can be notoriously 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 to Right to Choose (see psychiatry-uk and adhd titration waiting list 360). This means that you can select a provider that offers a private assessment and titration adhd medication service. This can help you save time and be more convenient, especially when you are on a tight schedule.

After you have been recommended, your physician will examine your condition to determine if you require medication adjustment. You'll have to complete forms that are different for each provider however the most commonly used ones are self-reporting questionnaires and medical histories that go back to childhood and adulthood. These forms will assist your doctor determine any issues that could suggest you should not take ADHD medication if prescribed.

If you are on a titration medication, it will typically consist of stimulants and non-stimulant medications. These will be carefully trialled and monitored to find the most effective combination for you, taking into consideration any medical conditions you may have. The titration process may be lengthy and may require a few extra appointments before you are stable on your dose.

Depending on the kind of medication you're taking, follow up appointments can be scheduled either monthly or quarterly. Your doctor will ensure whether you are stable on the medication, note any side effects that you have experienced and make any necessary adjustments to ensure that you remain on a safe dose. You are required to attend an annual health check-up and routine health exam that includes blood pressure, pulse, and weight measurements.

Some people might be satisfied with their medication and therefore do not need to discuss their titration in more detail. However, for those who require further discussions regarding the titration process and treatment plan, it is possible that they will be passed back to the private clinic that performed their initial assessment. 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 can cost more than prescriptions from the NHS because the pharmacy will charge you for the medication.