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Private ADHD Titration

There is a nationwide shortage of medications to treat ADHD symptoms. This is due both to manufacturing problems and an increased global demand.

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

Titration

A highly skilled consultant psychiatrist will conduct a comprehensive assessment of your ADHD. This includes a complete medical history and an evaluation using the typical ADHD questionnaires and rating scales.

After your examination, you will be advised whether medication may be beneficial for your situation. This will be discussed at your follow-up appointment (which could be in person, via video link or by phone). Your doctor will go over the various options for medications available. If you decide to start taking medication, we will offer you to titrate your dose to ensure the best balance of benefits and side effects for you.

This process may take several weeks, and requires gradually altering your child's medication until the right balance has been achieved. It is not unusual to need to titrate two or three medicines before finding the one that is best for your child's ADHD symptoms. Parents must take part in this process of titration, and keep an eye on their child's behaviour so that they can let the doctor know if the medicine is helping or causing adverse effects.

Unless you have decided to return to NHS care, your medication will be given as a private prescription which you will need to pay for at the pharmacy (this is not included in your consultation fee). You must attend six monthly appointments to monitor your medication - this includes pulse and blood pressure readings. Annual checks are also required.

Follow-up appointments

After the assessment is completed, you will be able to make follow-up appointments with your psychiatrist, if necessary. Usually the appointment will take place via a zoom video call, although in certain cases it may be possible to schedule an audio-only consultation (again at an additional cost).

We will then go over the options for treatment and then decide on a bespoke, individualised ADHD medication titration. This will include a discussion and review of your dosage of medication, as well as any adverse effects you might be experiencing. The titration sessions cost PS150 for face-to-face sessions, and PS60 by video or phone consultation. Medication costs are additional and are paid directly to the pharmacy.

The psychiatrist will ask you questions about your family history as well as the impact of your ADHD symptoms on your daily life and any relationship problems or mental health issues that you might be suffering from. ADHD can be a hereditary condition, and it's vital to examine your family background to determine if you're at chance of developing this condition.

During this assessment it is crucial that you are honest and honest with your doctor who will be using the information you provide to determine whether you have the diagnostic criteria for ADHD. This is a vital step in the process as failing to do so could lead to an inaccurate 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 arrange a follow up appointment with one of our psychiatrists that specialize in this field. This can be done at the time of your diagnosis if you are eager to begin treatment immediately, or within two weeks if you prefer to take time to think about the implications of your diagnosis and the options available to you.

We suggest that if are unsure of your preferences, talk to your GP prior to scheduling your private appointment. Certain providers have different guidelines regarding whether they require an GP letter. We also advise to confirm that your GP accepts a 'Shared Care Agreement that means that after you have been discharged from the clinic, you will be referred back to them for the prescription for the medication.

Medication

The medication process is an essential element of the process for many people who are looking for an official ADHD diagnosis. Finding prescriptions from an NHS psychiatrist can be difficult and long-winded. NHS waiting lists can be notoriously long and GPs might be reluctant to refer their 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). You can pick a provider who offers an assessment that is private and the titration. This can help you reduce time and be more convenient, Private ADHD Titration particularly when you are on a tight work schedule.

If you are referred, your clinician will examine you 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 going 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 being titrated the medication will be a combination stimulants and non-stimulant drugs. They will be examined and monitored to determine the right combination for you. The titration process may be long and could require some additional appointments before you're stable on your dosage.

The frequency of your follow-up appointments will depend on the type and quantity of medication that you are taking. They can be scheduled for monthly or quarterly. The appointment will involve your doctor checking to see if you are taking the correct medication, noting any adverse effects you've experienced, and making any adjustments needed to ensure that you remain in a safe dosage. You'll also be required to undergo a regular health check which can include blood pressure readings, pulse and weight and an annual review.

Some people may be satisfied with their treatment and don't have to discuss their titration process further. However, for those who require further discussions regarding the titration process and treatment plan, it's possible that they will be referred back to the private clinic that performed their initial assessment. In this case the titration adhd medications is included in the consultation fee. The medication will be given via a private prescription. This may cost more than prescriptions from the NHS, as the pharmacy will charge for the medication.