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Private ADHD Titration

There is a nationwide shortage of medication to treat ADHD symptoms. This is due to manufacturing problems as well as an increase in demand worldwide.

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

Titration

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

After your evaluation, you will be advised whether medication may be beneficial in your case. This will be discussed at your follow-up appointment (which may be scheduled in person, by video link or by phone). Your clinician will explain the different options available for you to take medication and, if you choose 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 the dosage of your child's medication gradually until the appropriate balance is achieved. It's not uncommon to to adjust up to three different medicines before you find the one that best suits 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 behavior so that they can let the doctor know whether the medication is working or causing side effects.

Unless you have decided to return to NHS treatment and have decided to return to NHS care, your medication will be given as an individual prescription that you will need to pay for at the pharmacy (this is not included in your consultation fees). You will be required to attend six monthly appointments to monitor your medication - this includes pulse and blood pressure readings. Annual reviews are also mandatory.

Follow-up appointments

After the assessment is completed, you'll be able to book appointment with the psychiatrist as appropriate. Usually the appointment will take place via a zoom video call however in some instances it is possible to do an audio only consultation (again at an extra cost).

At this point, we will discuss treatment options and come up with a unique ADHD medication titration for adhd plan. This will include a discussion and review of your medication dose and any side effects that you might be experiencing. The titration sessions cost PS150 for face-toface sessions and PS60 via video or telephone consultation. The cost of medication is additional and are paid directly to the pharmacy.

The psychiatrist will ask you questions regarding your family history as well as the effects of your ADHD symptoms on your life and any mental health issues you might be experiencing. This is because ADHD is a genetic condition and it is important to look into any family history that might indicate that you're at risk of developing the disorder.

It is important that you are honest and open to the doctor during the assessment, since the information they get will be used to determine if 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 consequently an inappropriate prescription of medication.

If you've decided you'd like to be treated for your ADHD We will arrange a follow up appointment with one of our psychiatrists who specialize in this field. If you'd like to start treatment right away it is possible to start treatment immediately following the diagnosis. Or you can wait for two weeks before considering the implications of the diagnosis and your options.

If you aren't sure which one you prefer, we suggest that you speak with your GP before booking your private examination as some providers have different policies regarding whether they require an GP referral letter or not. Find out if your GP accepts the Shared Care Agreement, which means that you will be referred to them once you leave the clinic for prescription medication.

Medication

For many people who seek a private diagnosis of ADHD, medication is a crucial aspect of their journey. It isn't always easy to obtain an appointment with a psychiatrist on the NHS. NHS waiting lists can be extremely long and GPs might be reluctant to refer their patients to specialist services.

One method to avoid this is to request your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). This means you can select a provider that offers an assessment and titration. This can cut down on wait time considerably and can be more convenient if you are working and have a hectic schedule.

Once you have been identified as a candidate for this treatment, your chosen clinician will assess you and decide whether or not you require to be adjusted on your medication. You will be asked to fill in forms that differ by doctor but the most common ones are self-report forms and medical histories from childhood to adulthood. These will help your clinician identify any factors that might indicate that you shouldn't be taking ADHD medications if they are prescribed.

If you are being titrated on medication, it will typically be a combination of stimulants and non-stimulant medications. They will be carefully tested and monitored to find the best combination for you, taking into consideration any medical conditions you may have. The titration procedure can be long and may require several extra appointments before your dose is stable.

The frequency of your follow-up appointments will be contingent on the type and quantity of medication that you are taking. They can be scheduled for monthly or quarterly. Your physician will make sure whether you are safe with the medication, note any side effects that you've experienced, and make any needed adjustments to ensure that you remain on a safe dose. You will also be required to attend a routine health check, which could include blood pressure, pulse and weight readings as well as an annual review.

Some people might be satisfied with their medication, and therefore do not have to discuss their titration in more detail. However, for those who require further discussion about their titration and treatment plan it's possible to be referred back to the same private clinic that made their initial assessment. In this instance the titration is included in the consultation fee. The medication will be given via a private prescription. This could cost more than prescriptions from the NHS, as the pharmacy will charge for the medication.