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Private ADHD Titration

There is a current national shortage of medication to treat ADHD symptoms. This is due to manufacturing problems as well as an increased global demand.

Our service offers private ADHD treatment instead of waiting for NHS funding through Right to Choose. Our assessments are free and include the cost of one prescription.

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

After your examination, you will be informed that medication may be beneficial for your situation. This will be discussed during your follow-up appointment (which can take place in person, by video link or by phone). Your clinician will explain the various options for 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 process could take a few weeks and it involves gradually altering your child’s medication until the right balance has been achieved. It's not uncommon to to titrate as high as three different medicines before you can find the one that is most suitable for your child's ADHD. It is important that parents are involved in the titration and be on the lookout for their child's behavior, so they can inform the doctor if the medication is helping or causing adverse effects.

If you decide to return to NHS treatment you will receive a private prescription for your medication. You will be required to pay the pharmacy. This is not included in the consultation cost. You must attend regular appointments every six months to monitor your medication - this includes pulse and blood pressure readings. Annual reviews are also required.

Follow-up appointments

Once the assessment has been completed, you will be able to make follow-up appointments with your psychiatrist, if appropriate. The appointment is usually done via zoom video call. However, in certain cases, it may be possible to have an audio-only appointment to be conducted (again with an additional cost).

At this point we will discuss any treatment options and agree upon a bespoke individualised ADHD medication titration strategy. This will include an assessment of your medication dosage and a discussion around any adverse effects you may be experiencing. These titrations cost PS150 for face-to-face sessions and PS60 via telephone or video consultation. The pharmacy will be charged for any cost of medication.

The psychiatrist will also ask you about your family history and the impact your ADHD symptoms impact your life, as well as any issues with relationships you may be experiencing or other mental health problems that you might be experiencing. This is because ADHD can be an inheritable condition, and it is important to examine any family history that could indicate whether you are at risk of developing the disorder.

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

If you decide to receive treatment for ADHD We'll set up an appointment for a follow-up visit with a psychiatrist who is specialized in this field. This can be done within the first few days of your diagnosis if you are keen to begin treatment immediately or within two weeks if would like more time to think about the implications of your diagnosis and the possibilities available to you.

If you're not sure what your preference is it is recommended that you talk to your GP before booking your private assessment as some providers have different policies regarding whether they require a GP referral letter or not. We also recommend that you check whether your GP accepts a 'Shared Care Agreement which means that once you are discharged from the clinic, you will be referred back to them for the medication prescription.

Medication

Medication is a key aspect of the treatment process for many people seeking an official ADHD diagnosis. The process of getting an appointment with an NHS psychiatrist can be difficult and time-consuming. NHS waiting lists are notoriously long, and GPs can be reluctant to refer patients on to specialist services.

One method to avoid this is to request your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). This means that you can choose a provider that offers a private assessment and titration. This can reduce your wait time considerably and can be more convenient when you are working and have a hectic schedule.

If you are diagnosed, your doctor will evaluate your condition to determine if you require medication titration. You will need to complete forms that vary by doctor, but the most common ones are self-reporting questions and medical histories dating back to childhood and adulthood. They will help your physician identify any conditions that could indicate that you shouldn't be taking ADHD medications if they are prescribed.

If you are titrated on medication, it is likely to consist of stimulants and non-stimulant medications. They will be assessed and monitored to determine the most suitable combination for you. The titration process may be lengthy and may require some additional appointments before you're able to stay on your dose.

The frequency of your follow-up appointments will be contingent on the type and amount of medication you are taking. They can be monthly or quarterly. This will include your physician checking that you are taking the correct medication, recording any side effects you've experienced and making any adjustments needed to ensure that you remain in a safe dosage. You will be required to attend an annual health check-up and routine health examination which includes blood pressure, pulse, and weight measurements.

Some patients may be content with their medication, and therefore do not need to discuss their titration process further. If you're required to discuss your titration plan or treatment plan more thoroughly, it is possible that you'll be referred back to the private doctor who performed your initial assessment. In this scenario the titration is included in the consultation cost. The medication will then be administered via a private prescription. This could cost more than an NHS prescription because the pharmacy will charge for the medication.