Private ADHD Titration

There is currently a national shortage of medication to treat ADHD symptoms. This is due to manufacturing issues and the growing demand for ADHD medications worldwide.

Our service is able to offer private adhd titration uk ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessments cost include the cost of one prescription.

Titration

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

Following your assessment you will be informed if medication is considered to be beneficial in your particular situation. This will take place during your follow-up appointment (which can be done in person, via video link or via phone). Your physician will explain to you the various options for medication and, if you choose to begin taking medication, we will recommend titrating the dose to optimise 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 proper balance is achieved. It's not uncommon to need to titrate three or four medications before finding the best one for your child's ADHD symptoms. It is crucial that parents are involved in the titration process and be aware of their child's behavior so they can inform the doctor if the medication is helping or causing adverse effects.

If you decide to return to NHS treatment you will be issued an individual prescription for your medication. You will be required to pay the pharmacy. This is not included in the consultation cost. You will need to attend six-monthly appointments to monitor your medication. This includes blood pressure and pulse measurements. Annual exams are also required.

Follow-up appointments

After the evaluation is completed and you are satisfied, you can schedule appointment with the psychiatrist. The appointment is usually done via zoom video call. However, in some instances, it could be possible for an audio-only consultation to be scheduled (again with an additional cost).

We will then go over the options for treatment and then decide on a bespoke, individualised ADHD medication titration. This will include a discussion and review of your medication dose and 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. Medication costs are additional and are paid directly to the pharmacy.

The psychiatrist will also ask you about your family history and the impact that your ADHD symptoms impact your life, including any issues with relationships you may be experiencing or other mental health issues you might be experiencing. This is due to the fact that ADHD is an inheritable condition, Private ADHD Titration and it is important that we assess any family history that may indicate whether you are at risk of developing the disorder.

During this examination, it is essential that you are truthful and honest with your doctor, private adhd titration as they will use the information you provide to determine whether you are able to meet the diagnostic criteria for ADHD. This is an important step, as the wrong diagnosis can result in an inappropriate prescription of medication.

If you've decided that you'd like to be treated for your ADHD We will set up a follow-up appointment with one of our psychiatrists who specialise in this field. This can be done within the first few days of your diagnosis if are eager to begin treatment right away, or within two weeks if you would like more time to think about the implications of your diagnosis and the options that are available to you.

We suggest that if are unsure of your preferences, talk to your GP prior to booking your private assessment. Certain providers have different policies on whether or not they require an GP letter. We also recommend that you check whether your GP accepts a "Shared Care Agreement', which means that once discharged from the clinic, you will be referred back to them for the medication prescription.

Medication

For many people who want an individual diagnosis of ADHD treatment is a key element of their treatment. Getting an appointment with an NHS psychiatrist can be difficult and lengthy. NHS waiting lists can be notoriously long and GPs might be reluctant to refer patients to specialist services.

One way to get around this is to request your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). You can pick a provider that provides an assessment on your own and titration. This can cut down on wait time significantly and is more convenient if you're working and have a busy schedule.

If you are identified as a candidate for this treatment the doctor you choose will examine you and decide whether or not you need to be titrated on medication. You will be asked to fill in forms that vary by provider but the most important ones are self-report questionnaires and medical histories from childhood to 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, this will usually be a combination of stimulants and non-stimulant drugs. These will be carefully tested and monitored to find the most suitable combination for you. The titration can be long and may require a number of additional appointments before your dose is stable.

Depending on the kind of medication you are taking, follow up appointments can be scheduled either monthly or quarterly. This will include your physician making sure that you are stable on the medication, logging any side effects you have had and making any adjustments needed to ensure you are on a dose that is safe. You will be required to attend an annual review and a regular health check-up that includes pulse, blood pressure and weight measurements.

Some patients may be content with their treatment and therefore do not have to discuss their titration process further. If you're required to discuss your titration plan or treatment plan in more detail, it is possible that you will be referred to the private clinic that performed your initial evaluation. In this scenario the titration is included in the consultation cost. The medication will then be provided through an individual prescription. This could cost more than an NHS prescription as the pharmacy will charge for the medication.