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Private ADHD Titration

There is a national shortage of medications to treat ADHD symptoms. This is due both to manufacturing problems as well as an increased global demand.

Our service is able to provide private ADHD testing 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 psychiatrist consultant will conduct a thorough assessment of your ADHD. This includes a complete medical history and an assessment using the typical ADHD questionnaires and rating scales.

Following your assessment you will be informed that medication may be beneficial in your case. This will take place at your follow up appointment (which can be done in person via video link or by phone). Your doctor 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 maximize the balance of benefits and side effects for you.

This process may take several weeks and requires gradually altering your child's dosage until the right balance is reached. It is not unusual to have to titrate two or three medicines before finding the best one for your child's ADHD symptoms. It's important for parents to participate in this titration process and keep an watchful eye on their child's behavior 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 provided with a private prescription which you'll have to pay for at the pharmacy (this is not included in your consultation fee). You must attend six-monthly appointments to check your medication. This includes blood pressure and pulse measurements. Annual reviews are also mandatory.

Follow-up appointments

After the evaluation is completed and you are satisfied, you can schedule follow-up appointments with the psychiatrist. The appointment is typically conducted via zoom video call. However, in certain instances, it could be possible for an audio-only appointment to be scheduled (again at an additional cost).

At this point, we will discuss treatment options and decide on a custom-made ADHD medication titration plan. This will include a review of your medication dosage as well as a discussion around any adverse effects you may be experiencing. The cost of these titration consultations is PS150 for face-to face sessions and PS60 for online or phone video consultations. Costs for medication are extra and Private Adhd Titration are paid directly to the pharmacy.

The psychiatrist will ask you questions about your family history as well as the impact of your ADHD symptoms on your daily life and any relationship problems or mental health issues you might be experiencing. This is due to the fact that ADHD can be a genetic disorder and it is essential to examine any family history that could suggest that you are at risk of developing the disorder.

It is important to be honest and open with your doctor during this assessment, as the information they gather will be used to determine if your ADHD fits the diagnostic criteria. This is a vital step in the process because if you don't do it, it could result in an inaccurate diagnosis and therefore inappropriate prescribing of medication.

If you have decided that 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 area. If you'd like to begin treatment immediately it is possible to start treatment when you are diagnosed. You can also wait two weeks to think about the implications of the diagnosis and what options you have.

We recommend that if you are unsure about your preferences, you talk with your GP prior to scheduling your private examination. Some providers have different policies on whether they require an GP letter. 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 returned to them for the prescription for the medication.

Medication

For many people who want an official diagnosis of ADHD medication is a key aspect of their journey. It isn't always easy to obtain prescriptions from psychiatrists on the NHS. NHS waiting lists are notoriously long and GPs can be reluctant to refer patients on 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). You can select a provider that offers an assessment on your own and titration. This will cut down your waiting time by a significant amount and is more convenient if you're working and have a hectic schedule.

If you are recommended by this method your chosen doctor will evaluate you and determine whether or not you require to be monitored for a dose of medication. You will be asked to fill out forms that are different for each provider, but the most common ones are self-report questionnaires and medical histories from childhood and adulthood. They will help your physician identify any factors that might indicate that you shouldn't be taking ADHD medications if they're prescribed.

If you are titrated on medication, it will typically be a combination of non-stimulant and stimulant medications. They will be carefully tested and monitored to determine the most effective combination for you, taking into account any medical conditions you may have. The titration process can be long and may require multiple appointments before you are stable.

The frequency of your follow-up appointments will depend on the type and amount of medication you are taking. They can be monthly or quarterly. Your physician will make sure whether you are safe with the medication, record any side effects that you have experienced and make any necessary adjustments to ensure that you remain on a safe dosage. You'll also be required to undergo a regular health check which can include blood pressure and pulse readings, as well as weight and weight measurements and an annual check-up.

For some individuals it could be that they are happy with their medication and don't require a further discussion about their titration. If you're looking to discuss your titration plan or treatment plan further it is possible that you'll be referred back to the private adhd titration doctor that performed your initial evaluation. If this occurs, the titration appointment will be part of their consultation fee and they will be given their medication on private prescription (see Consultation fees above). It could cost more than an NHS prescription because the pharmacy will charge for the medication.