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Private ADHD Titration

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

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

Titration

A comprehensive assessment of your ADHD symptoms will be carried out by a highly experienced consultant Psychiatrist. This includes medical history and an assessment using the standard ADHD rating scales and questionnaires.

After your assessment After your assessment, you will be informed whether medication is appropriate for your situation. This will take place at your follow up appointment (which can be scheduled in person, via video link or via phone). Your doctor will go over the various medication options available. If you decide to start medication, we can help you the option of titrating your dose to optimize the benefits/side-effects balance for you.

This process can take several weeks and it involves gradually altering your child's medication until the right balance has been achieved. It's not uncommon to need to titrate several times before finding the best one for your child's ADHD symptoms. It is essential for parents to take part in this process of titration and keep a close watchful eye on their child's behavior, so that they can let the doctor know whether the medication is working or causing adverse effects.

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

Follow-up appointments

Once the assessment has been completed you will be able to book follow up appointments with the psychiatrist, as necessary. Typically, the appointment will take place through a video call using zoom but in certain circumstances it may be possible to do an audio only consultation (again at an extra cost).

We will then discuss the options for treatment and then decide on an individualised, bespoke ADHD medication titration. This will include an assessment of your medication dose and a discussion of any possible side effects you might be experiencing. The titration sessions cost PS150 for face-toface sessions and Private ADHD Titration PS60 via telephone or video consultation. The pharmacy will be charged for any cost of medication.

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

During the assessment, it is vital to be truthful and honest with your doctor, as they will be using the information you provide to determine whether you meet the diagnostic criteria for ADHD. This is a crucial step in the process as failing to do so 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 that is skilled in this area. This can be scheduled in the wake of your diagnosis if are keen to begin treatment right away or within two weeks if want to consider the implications of your diagnosis and the possibilities available to you.

If you are unsure of what you would prefer We suggest you speak to your GP prior to scheduling your private appointment as certain providers have different policies about whether they require the submission of a GP referral letter or not. We also advise to confirm that your GP accepts a "Shared-Care Agreement', which means that once you are discharged from the clinic you will be referred back to them for the prescription for the medication.

Medication

Medication is an integral part of the journey for many people who are looking for a private ADHD diagnosis. The process of getting an appointment with an NHS psychiatrist can be a challenge and lengthy. NHS waiting lists can be notoriously long and GPs may be reluctant to refer their patients to specialist services.

Requesting your GP to refer you to Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). This means that you can select one that provides an assessment and titration. This will cut down your waiting time significantly and is more convenient if you are working and have a full schedule.

After you have been recommended, your physician will assess your condition to determine if you require medication titration. You will be asked to fill in forms that vary by provider but the main ones are self-report forms and medical histories from childhood and adulthood. These forms will allow your doctor to determine if there are circumstances that indicate you shouldn't be taking ADHD medications, in the event that they've been prescribed.

If you are being titrated the medication will consist of a mixture of stimulants and non-stimulant drugs. These will be carefully trialled and monitored to determine the best combination for you, taking into consideration any current conditions you suffer from. The titration process can be long and could require a few extra appointments before you're able to stay on your dose.

The frequency of your follow-up appointments will be contingent on the type and amount of medication you're taking. They could be scheduled monthly or quarterly. Your doctor will ensure whether you are stable on the medication, document any side effects that you've experienced, and make any necessary adjustments to ensure you remain on a safe dosage. You'll also be required to undergo a regular health check that may include blood pressure and pulse readings, as well as weight and weight measurements and an annual check-up.

Some people may be satisfied with their medication and therefore do not require discussing their titration process further. If you're looking to discuss your titration or treatment plan in more detail it is possible that you'll be referred back to the private doctor that performed your initial evaluation. In this instance the titration is included in the consultation cost. The medication will then be administered via an individual prescription. It could cost more than an NHS prescription as the pharmacy will charge for the medication.