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Private ADHD Titration

There is currently a nationwide shortage of medication that helps to treat ADHD symptoms. This is due to manufacturing issues and increased global demand.

Our service can offer private ADHD titration as an alternative to waiting for NHS funding through Right to Choose. Our assessments are free and 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 medical history and an assessment using the typical ADHD rating scales and questionnaires.

Following your assessment you will be informed if medication is considered to be beneficial for your situation. This will be discussed at your follow-up appointment (which can be done in person, via video link or via phone). Your clinician will discuss the various options for medications available. If you decide to start taking medication, we can help you the option of titrating your dose to ensure the best balance of benefits and side effects for you.

This process may take several weeks, and it involves gradually altering your child's dosage until the appropriate balance is achieved. It is not uncommon to to titrate as high as three different medications before you find the one that best fits 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 let the doctors know whether the medication is working or causing adverse effects.

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

Follow-up appointments

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

In this session, we'll discuss any treatment options and decide on a custom-made ADHD medication titration strategy. This will include a review of your medication dosage and an examination of any side effects you might be experiencing. The cost of these titration sessions is PS150 for face-to-face sessions and PS60 for online or phone video consultations. The pharmacy will be charged for any medication costs.

The psychiatrist will also inquire with you about your family background and the impact your ADHD symptoms can have on your life, as well as any issues with relationships you may be experiencing or other mental health problems that you might be experiencing. ADHD is a genetic condition, so it's important to assess your family history in order to determine if you're at chance of developing this condition.

It is crucial to be honest and truthful with the clinician during this evaluation, as the information they gather will be used to determine whether your ADHD is in line with the diagnostic criteria. This is a crucial step in the process as failing to do so could result in an inaccurate diagnosis and therefore inappropriate prescribing of medication.

If you've decided that you would like to receive treatment for your ADHD, we will then schedule a follow-up appointment with one of our psychiatrists who specialise in this area. This can be scheduled in the wake of your diagnosis if you are keen to begin treatment immediately, or within two weeks if you would like more time to consider the implications of your diagnosis and the alternatives that are available to you.

If you're not sure what your preference is, we suggest that you talk to your GP before booking your private assessment as some providers have different policies about whether they require the submission of a GP referral letter or not. Find out if your GP accepts a Shared Care Agreement, which means that you will be referred to them once you leave the clinic for prescriptions for medication.

Medication

The medication process is an essential part of the journey for many people looking for a private ADHD diagnosis. It can be difficult to get prescriptions from psychiatrists on the NHS. NHS waiting lists are notoriously how long does adhd titration take and GPs can be reluctant to refer patients to specialist services.

Requesting your GP to refer through Right to Choose is one way to avoid this (see psychiatry - UK and ADHD 360). This means that you can select a provider that offers a private assessment and titration adhd. This will help you save time and be more convenient, especially in the event of a hectic work schedule.

After you have been referred, your clinician will evaluate your condition to determine if you need medication adjustment. You'll need to complete forms that differ by provider however the most commonly used ones are self-reporting questionnaires and medical histories that go 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're prescribed.

If you are being titrated on medication, it is likely to be a combination of non-stimulant and stimulant medications. The combination will be carefully tested and monitored to determine the best combination for you, taking into consideration any current conditions you suffer from. The titration process may be lengthy and may require a few extra appointments before you're stable on your dosage.

Depending on the type of medication you're taking, follow-up appointments can be scheduled either monthly or quarterly. The appointment will involve your doctor checking 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 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 require discussing their titration in more detail. If you're required to discuss your titration or treatment plan further, it is possible that you'll be referred back to the private clinic who performed your initial assessment. In this instance the titration is included in the consultation cost. The medication will then be administered via an individual prescription. This may cost more than prescriptions from the NHS because the pharmacy will charge you for the medication.