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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 the growing demand for ADHD medications worldwide.

Our service offers private ADHD titration 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 highly experienced psychiatrist consultant will conduct a thorough assessment of your ADHD. This will include a medical history and an assessment using the standard ADHD rating scales and questionnaires.

After your examination You will be advised if medication would be beneficial for your specific situation. This will be discussed during your follow-up appointment (which may be scheduled in person, by video link or over the phone). Your clinician will explain the different options available for you to take medication and, if you decide to start on medication we will recommend titrating the dose to optimise the balance of benefits and side effects for you.

This is a process which could take a few weeks, and involves adjusting your child's medication gradually until the appropriate balance is achieved. It's not uncommon to need to adjust several times before finding the one that is best for your child's ADHD symptoms. It is essential that parents take part in the titration process and be aware of their child's behavior so they can let the doctors know whether the medication is working or causing adverse effects.

If you decide to return to NHS treatment you will receive an individual prescription for your medication. You will be required to pay the pharmacy. This is not included in the consultation fee. You will be required to attend every six months to check your medication. This includes blood pressure and pulse readings. Annual reviews are also mandatory.

Follow-up appointments

After the assessment is completed, you will be able to make follow-up appointments with the psychiatrist as appropriate. Typically, the appointment will take place on zoom video call, although in certain cases it is possible to have an audio only consultation (again at an additional cost).

We will then discuss treatment options and choose a bespoke, individualised ADHD medication titration. This will include a review and discussion of your dosage of medication and any adverse effects you may be experiencing. The cost for these titration consultations is PS150 for face to face sessions and PS60 for online or phone video consultations. The cost of medication is additional and are paid directly to the pharmacy.

The psychiatrist will ask you questions about your family history and the effects of your ADHD symptoms on your life, and any mental health issues that you may be experiencing. This is due to the fact that ADHD is a genetic condition and it is essential to examine any family history that might suggest that you are at risk of developing the disorder.

It is crucial to be honest and open with the clinician during this assessment, as the information they gather will be used to determine if your ADHD is in line with the diagnostic criteria. This is a crucial step, as the wrong diagnosis can lead to inappropriate medication prescription.

If you've decided that you would like to be treated for your ADHD, we will then set up a follow-up appointment with one of our psychiatrists that specialize in this area. If you'd like to begin treatment immediately it is possible to start treatment at the time of diagnosis. You can also wait for two weeks before considering the implications of the diagnosis and what options you have.

We suggest that if you are unsure about your preferences, you speak to your GP prior to scheduling your private examination. Some providers have different guidelines regarding whether they require an GP letter. We also recommend that you check whether your GP accepts a "Shared-Care Agreement', which means that once discharged from the clinic you will be sent back to them to get the medication prescription.

Medication

For many people who want an official diagnosis of ADHD, medication is a crucial element of their treatment. Finding prescriptions from an NHS psychiatrist can be difficult and time-consuming. 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 choose a service who offers a private assessment service and titration. This can cut down on wait time considerably and can be more convenient when you are working and have a full schedule.

If you are identified as a candidate for this treatment your chosen doctor will examine you and decide whether or not you're required to be adjusted on your medication. You'll need to fill out forms that differ by provider but the most frequent ones are self-reporting forms and medical histories going to your childhood and into adulthood. These forms will assist your doctor to determine if there are any reasons that suggest you shouldn't be taking ADHD medications, in the event that they've been prescribed.

If you are titrated on medication, it is likely to be a combination of non-stimulant and stimulant medications. These will be thoroughly assessed and monitored to determine the best combination for you. The titration process can be lengthy and may require multiple appointments before you are stable.

The frequency of your follow-up appointments is contingent on the type and quantity of medication you're taking. They can be scheduled for monthly or quarterly. Your physician will make sure that you are stable with the medication, note any side effects that you've experienced, and make any necessary adjustments to ensure that you remain on a dose that is safe. You will be required to attend an annual review and a routine health examination which includes pulse, blood pressure, and weight measurements.

For some people it could be because they are satisfied with their medication and don't need an additional discussion regarding their titration. For those who require further discussions regarding the titration process and treatment plan, it's possible to be passed back to the private clinic that made their initial assessment. In this instance the titration is included in the consultation cost. The medication will be administered via an individual prescription. This could cost more than an NHS prescription since the pharmacy will charge for the medication.