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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 is able to provide private adhd medication titration ADHD testing as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees include the cost of a single prescription.

Titration

A thorough assessment of your ADHD symptoms will be carried out by an experienced consultant Psychiatrist. This will include an examination of your medical history as well as an assessment using the common ADHD rating scales and questionnaires.

After your examination, you will be informed whether medication may be beneficial in your particular situation. The discussion will take place at your follow-up appointment (which could be in person, by video link, or over the phone). Your physician will explain to you the different options available for you to take medication and, if you choose to start on medication we will recommend titrating the dose to maximize the balance of benefits and side effects for you.

This process can take several weeks, and requires gradually altering your child's dosage until the appropriate balance is reached. It's not uncommon to to adjust up to three different medicines before you find the one that is most suitable for your child's ADHD. It's important for parents to take part in this process of titration and keep a close eye on their child's behaviour to inform the doctor whether the medication is working or causing side effects.

If you do not decide to return to NHS treatment the medication you take will be issued with a private prescription which you will need to pay for at the pharmacy (this is not included in your consultation fees). You must attend every six months to check your medication, which includes blood pressure and pulse readings. Annual checks are also required.

Follow-up appointments

Once the assessment has been completed, you'll be able to schedule appointment with your psychiatrist, if appropriate. The appointment usually takes place via a zoom video call, although in certain cases it may be possible to do an audio only consultation (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 program. This will include a discussion and review of your dosage of medication, as well as any side effects that you may be experiencing. These titrations 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 doctor will also ask you about your family background and the impact your ADHD symptoms impact your life, as well as any issues with relationships you may be having or other mental health problems that you may be experiencing. ADHD is a genetic condition, and it's vital to look into your family's history in order to determine if you are at a greater chance of developing this disorder.

It is crucial to be honest and truthful with your doctor during this evaluation, as the information they receive will be used to determine whether your ADHD meets the diagnostic criteria. This is a crucial part of the process, because if you don't do it, it could result in an incorrect diagnosis and consequently an inappropriate prescription of medication.

If you decide to be treated for ADHD we'll schedule a follow-up appointment with a psychiatrist who specializes in this area. This can be scheduled at the time of your diagnosis if you want to start treatment immediately or within two weeks if you prefer to take time to think about the implications of your diagnosis and the possibilities that are available to you.

If you're not sure which one you prefer it is recommended that you talk with your GP prior to booking your private examination as some providers have different rules regarding whether they require an GP referral letter or not. We also suggest to confirm that your GP accepts a 'Shared Care Agreement which means that after you have been discharged from the clinic you will be sent back to them to get the medication prescription.

Medication

For many people who seek an individual diagnosis of ADHD treatment is an important element of their treatment. It can be difficult to get a prescription from a psychiatrist on the NHS. NHS waiting lists can be extremely how long does adhd titration take and GPs might be reluctant to refer patients to specialist services.

One method to avoid this is to ask your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). This means you can select one that provides a private assessment and titration. This will help you reduce time and be more convenient, particularly when you are on a tight schedule.

If you are referred through this route the doctor you choose will examine you and decide whether or not you require to be adjusted on your medication. You'll need to complete forms that vary by doctor but the most frequent ones are self-reporting questionnaires and medical histories going to your childhood and into adulthood. These forms will allow your doctor to determine if there are any factors that could mean you shouldn't be taking ADHD medications, if they have been prescribed.

If you are titrated, the medication will consist of stimulants and non-stimulant drugs. These will be thoroughly tested and monitored to find the best combination for you. The titration procedure can be lengthy and may require a number of additional appointments before the dose becomes stable.

The frequency of your follow-up appointments is contingent on the type and amount of medication that you are taking. They could be scheduled monthly or quarterly. This will include your physician checking to see if you are taking the correct medication, recording any side effects you have had and making any adjustments needed to ensure that you remain on a dose that is safe. You will be 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 treatment and don't require discussing their titration further. If you need to discuss your titration plan or treatment plan in more detail it is likely that you'll be referred back to the private clinic who made your initial assessment. If this occurs, the titration consultation will be included in their consultation fee, and they will receive their medication on private prescription (see Consultation fees above). This can cost more than an NHS prescription since the pharmacy will charge for the medication.