Private ADHD Titration

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

Our service can provide private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees cover the cost of a single prescription.

Titration

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

After your evaluation You will be advised if medication would be beneficial for your situation. The discussion will take place at your follow-up appointment (which may be scheduled in person, via video link or over the phone). Your doctor will go over the various medication options available. If you decide to start taking medication, we can help you to titrate your dose to maximize the benefits/side effects balance for you.

This is a process which can take several weeks, and requires adjusting your child's dosage gradually until the appropriate balance is reached. It's not uncommon to to adjust up to three different medications until you discover the one that is most suitable for your child's ADHD. Parents must take part in this process of titration, and keep an eye on their child's behaviour so that they can inform the doctor whether the medication is helping or causing side effects.

Unless you have decided to return to NHS treatment the medication you take will be given as a prescription from a private pharmacy that you'll need to pay for at the pharmacy (this is not included in the consultation fee). You must attend six-monthly appointments to check your medication. This includes blood pressure and pulse measurements. Annual checks are also required.

Follow-up appointments

After the assessment is complete after the assessment what is titration adhd completed, you can make follow-up appointments with the psychiatrist. Typically, the appointment will take place via a zoom video call however in some instances it is possible to have an audio-only consultation (again at an extra cost).

At this point we will discuss any treatment options we have and decide on a custom-made adhd titration meaning medication titration program. This will include a review and discussion of your medication dosage and any side effects that you may be experiencing. The cost of these titration consultations is PS150 for face-to face sessions and PS60 for online or telephone video consultations. The pharmacy will charge you for any charges for medication.

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

During this assessment it is vital to be truthful and honest with the clinician in the sense that they will be using the information you provide to determine whether you have the diagnostic criteria for ADHD. This is an essential part of the process, as failing to do so could lead to an inaccurate diagnosis and consequently an inappropriate prescription of medication.

If you decide to seek treatment for ADHD, we'll arrange an appointment to follow-up with a psychiatrist who specializes in this field. If you want to start treatment right away it is possible to start treatment at the time of 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 you talk with your GP prior to booking your private assessment as some providers have different policies about whether they require an GP referral letter or not. Make sure that your GP accepts the Shared Care Agreement, which means you will be referred to them once you leave the clinic for prescriptions for medication.

Medication

For many people who want an official diagnosis of ADHD medication is a crucial part of their journey. The process of getting prescriptions from an NHS psychiatrist can be difficult and lengthy. NHS waiting lists can be extremely long and GPs might be reluctant to refer patients to specialist services.

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

If you are referred, your clinician will evaluate you to determine if you need medication adjustment. You'll have to complete forms that are different for each provider 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 factors that could mean you shouldn't take ADHD medication, if they have been prescribed.

If you are being titrated the medication will consist of a mixture of stimulants and nonstimulant medicines. These will be carefully trialled and monitored to determine the best combination for you, taking into account any medical conditions you may have. The titration process can be a lengthy process and may require several extra appointments before the dose becomes 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 doctor will ensure whether you are safe with the medication, record any side effects that you've experienced and make any necessary adjustments to ensure that you remain on a safe dose. You'll also be required to undergo a regular health check, which could include blood pressure and pulse readings, as well as weight and weight measurements and an annual check-up.

For some it could be because they are satisfied with their medication and don't require an additional discussion regarding their titration adhd. If you need to discuss your titration or treatment plan further it is possible that you'll be sent back to the private doctor that performed your initial evaluation. If this occurs, the titration adhd appointment will be included in the consultation fees and they will be given their medication through a private prescription (see Consultation fees above). This can cost more than a prescription from the NHS because the pharmacy will charge for the medication.