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Private ADHD Titration

There is a nationwide shortage of medications to treat ADHD symptoms. This is due to manufacturing issues and a growing global demand.

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

Titration

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

After your evaluation, you will be informed that medication may be beneficial for your specific situation. This will be discussed at your follow-up appointment (which could be in person, by video link, or over the phone). Your physician will explain to you the various options for medication and, if you choose to start on medication we will recommend titrating the dose to maximize the benefits/side effects balance for you.

This process can take several weeks, and requires gradually altering your child’s medication until the appropriate balance is achieved. It is not unusual to have to titrate three or four medications before finding the best one for your child's ADHD symptoms. Parents must be involved in this titration process and keep a close watchful eye on their child's behavior to let the doctor know if the medicine is helping or causing side effects.

Unless you have decided to return to NHS care and have decided to return to NHS care, your medication will be given as a private prescription which you'll have to pay for at the pharmacy (this is not included in your consultation fee). You'll be required to attend every six months to check your medication. This includes pulse and blood pressure readings. Annual reviews are also required.

Follow-up appointments

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

At this point we will discuss any treatment options and come up with a unique ADHD medication titration program. This will include a review of your medication dosage and a discussion around any adverse effects you may be experiencing. The cost of these titration sessions is PS150 for face-to-face sessions and PS60 for telephone or online video consultations. The pharmacy will charge you for any charges for medication.

The psychiatrist will also inquire with you about your family history and the impact that your ADHD symptoms have on your life, including any relationship issues you might be facing or any other mental health problems that you may be experiencing. This is due to the fact that ADHD is a genetic condition and it is essential that we assess any family history that may indicate whether you are at risk of developing the disorder.

It is essential that you are honest and open with the clinician during the assessment, since the information they get will be used to determine whether your ADHD fits the diagnostic criteria. This is a vital step in the process since a failure to do so could lead to an inaccurate diagnosis and therefore inappropriate prescribing of medication.

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

If you are unsure of what your preference is We suggest you talk to your GP before booking your private appointment as certain providers have different rules regarding whether they require the submission of a GP referral letter or not. We also recommend to check if your GP accepts a 'Shared Care Agreement that means that after you have been discharged from the clinic you will be sent back to them to get the prescription for the medication.

Medication

For many people who want a private diagnosis of ADHD treatment is an important element of their treatment. The process of getting prescriptions from an NHS psychiatrist can be a hassle and time-consuming. NHS waiting lists are notoriously long, and Private ADHD Titration GPs are often reluctant to refer patients on 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). You can pick a provider who offers an assessment on your own and the titration. This can help you reduce time and be more convenient, particularly when you are on a tight work schedule.

After you have been recommended, your physician will evaluate you to determine if require medication titration. You will need to complete forms that vary by doctor but the most frequent ones are self-reporting forms and medical histories dating back to childhood and adulthood. These will help your clinician identify any conditions that could mean you shouldn't take ADHD medications if they are prescribed.

If you are on a titration medication, it is likely to include a mix of stimulants and non-stimulant drugs. The combination will be carefully tested and monitored to find the most effective combination for you, taking into consideration any existing conditions you have. The titration process may be lengthy and may require a few extra appointments before you're stable on your dose.

Based on the type of medication you are taking, follow-up appointments can be scheduled either monthly or quarterly. This will involve your clinician checking that you are on the right medication, recording any side effects you have had and making any adjustments needed to ensure that you're on a dose that is safe. You will be required to attend an annual review as well as a regular health check-up that includes blood pressure, pulse, and weight measurements.

For some people it could be because they are satisfied with their medication and don't require an additional discussion regarding their titration. If you're looking to discuss your titration plan or treatment plan more thoroughly, it is possible that you will be referred back to the private clinic that performed your initial evaluation. If this happens, the titration appointment will be part of their consultation fee and they will receive their medication on an individual prescription (see Consultation fees above). This can cost more than prescriptions from the NHS since the pharmacy will charge for the medication.