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Private ADHD Titration

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

Our service can provide private ADHD titration as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees include the cost of one prescription.

Titration

A thorough assessment of your ADHD symptoms will be conducted by a highly experienced consultant psychiatrist. This includes a thorough medical history and an assessment using the common ADHD questionnaires and rating scales.

After your examination, you will be advised that medication may be beneficial in your particular situation. The discussion will take place at your follow-up appointment (which can take place in person, by video link or over the phone). Your physician will explain to you the various options for medication and if you decide to start on medication we will offer to titrate dosage to ensure the benefits/side effects balance for you.

This process could take several weeks, and it involves gradually altering your child's dosage until the appropriate balance has been achieved. It's not uncommon to need to adjust several times before determining the most effective one for your child's ADHD symptoms. It is important that parents are involved in the titration process and be on the lookout for their child's behavior, so they can inform the doctor whether the medication is helping or Private ADHD Titration causing adverse effects.

Unless you have decided to return to NHS treatment the medication you take will be given as an individual prescription that you will need to pay for at the pharmacy (this is not included in your consultation fees). You'll need to 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

After the assessment is complete and you are satisfied, you can schedule appointment with the psychiatrist. The appointment is typically conducted through a zoom video call. In some instances, it could be possible for an audio-only appointment to be conducted (again at an additional cost).

In this session, we'll discuss any treatment options we have and decide on a custom-made ADHD medication titration plan. This will include a discussion and review of your dosage of medication, as well as any adverse effects you may be experiencing. The cost for these titration sessions is PS150 for face-to-face sessions and PS60 for online or phone video consultations. Costs for medication are extra and are paid directly to the pharmacy.

The psychiatrist will ask questions about your family history and the effects of your ADHD symptoms on your life and any mental health issues you may be experiencing. ADHD can be a genetic condition, which is why it's crucial to look into your family's history in order to determine if you're at a greater risk of developing this disorder.

During this examination, it is essential that you are honest and open with the doctor, as they will be using the information you provide to determine whether you are able to meet the diagnostic criteria for ADHD. This is an important step, as an incorrect diagnosis could result in a prescription for medication that is not appropriate.

If you have decided that you would like to receive treatment for your ADHD We will schedule a follow-up appointment with one of our psychiatrists who specialize in this field. If you'd like to begin treatment immediately, you can do this 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, you speak with your GP prior to booking your private appointment. Certain providers have different guidelines regarding whether they require the submission of a GP letter. Make sure that your GP accepts the Shared Care Agreement, which means you will be referred to them when you leave the clinic for medication prescription.

Medication

Medication is a key part of the journey for many people who are looking for an official ADHD diagnosis. It can be difficult to get prescriptions from psychiatrists on the NHS. NHS waiting lists are notoriously long, and GPs may be reluctant to refer patients on to specialist services.

One method to circumvent this is to ask your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). You can pick a provider who offers an assessment on your own and the titration. This will help you reduce time and be more convenient, particularly in the event of a hectic work schedule.

If you are referred, your clinician will evaluate you to determine if you need medication adjustment. You will be asked to fill in forms that differ by doctor but the most common ones are self-report questionnaires as well as medical histories from childhood to adulthood. These forms will assist your doctor identify any conditions that could suggest you should not take ADHD medication if prescribed.

If you are being titrated on medication, it will typically consist of non-stimulant and stimulant medications. These will be thoroughly tested and monitored to find the right combination for you. The titration process can be lengthy and may require several additional appointments before you are stable on your dosage.

Depending on the kind of medication you are taking, follow-up appointments will be either monthly or quarterly. The appointment will involve your doctor checking to see if you are stable on the medication, logging any side effects you have had and making any adjustments needed to ensure that you're on a safe dosage. You will be required to go to an annual health check-up and regular health check-up that includes pulse, blood pressure and weight measurements.

For some it could be that they are happy with their medication and don't need an additional discussion regarding their titration. However, for those who require further discussion about the titration process and treatment plan, it's possible to be referred back to the private clinic that conducted their initial assessment. In this case, the titration will be included in the consultation cost. The medication will be provided through the private prescription. This can cost more than prescriptions from the NHS, as the pharmacy will charge for the medication.