Private ADHD Titration

There is a current national shortage of medications that treat ADHD symptoms. This is due to manufacturing issues and increased global demand.

Our service is able to offer private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees cover the cost of one prescription.

Titration

A comprehensive assessment of your adhd titration uk symptoms will be conducted with a highly experienced consultant psychiatrist. This includes a thorough medical history, as well as an assessment using the typical ADHD questionnaires and rating scales.

Following your assessment you will be informed that medication may be beneficial in your particular situation. This will happen during your follow-up appointment (which can be done in person, via video link or via phone). Your doctor will explain the different options available for you to take medication and, if you choose to start on medication we will suggest titrating the dose to maximize the benefits/side effects balance for you.

This is a process which could take a few weeks and requires adjusting your child's dosage slowly until the right balance is reached. 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 important that parents participate in the titration and keep an eye out for their child's behavior, so they can inform the doctor whether the medication is helping or causing adverse effects.

If you do not decide to return to NHS care and have decided to return to NHS care, your medication will be provided with 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 will need to attend six-monthly appointments to monitor your medications. This includes the measurement of pulse and blood pressure. Annual reviews are also mandatory.

Follow-up appointments

Once the evaluation has been completed you will be able to book follow-up appointments with the psychiatrist, as necessary. The appointment is typically conducted by video conference using zoom. In some cases, it may be possible for an audio-only consultation to be conducted (again at an additional cost).

In this session, we'll discuss any treatment options and agree upon a bespoke individualised ADHD medication titration strategy. This will include an assessment of your medication dose and 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 telephone video consultations. The pharmacy will charge you for any medication costs.

The psychiatrist will ask you questions about your family history, the impact of your ADHD symptoms on your life and any mental health issues you might be experiencing. ADHD is a genetic condition, so it's important to look into your family's history to determine if you are at chance of developing this condition.

It is crucial that you are honest and open to the doctor during this assessment, as the information they get 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 consequently an inappropriate prescription of medication.

If you decide to be treated for ADHD we'll schedule an appointment for a follow-up visit with a psychiatrist who is specialized in this area. This can be done at the time of your diagnosis if you are eager to begin treatment immediately, or within two weeks if you would like more time to think about the implications of your diagnosis and the possibilities available to you.

We recommend that if you are unsure about your preferences, you speak with your GP prior to booking your private appointment. Certain providers have different policies regarding whether they require an GP letter. Check if your GP accepts the Shared Care Agreement, which means that you will be referred to them once you leave the clinic for medication prescription.

Medication

Medication is a key part of the journey for many who are looking for an official ADHD diagnosis. Getting prescriptions from an NHS psychiatrist can be a hassle and lengthy. NHS waiting lists are notoriously long, and GPs may be 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 choose a service who offers an assessment that what is titration adhd private and titration. This will help you to save time and also be more convenient, particularly in the event of a hectic schedule.

After you have been diagnosed, your doctor will evaluate you to determine if require medication titration. You will need to fill out forms that differ by provider but the most frequent ones are self-reporting questions and medical histories that go back to childhood and adulthood. These forms will help your clinician determine if there are circumstances that indicate that you shouldn't be taking ADHD medication, even if they have been prescribed.

If you are being titrated on medication, it will typically include a mix of stimulants and non-stimulant medications. These will be carefully tested and monitored to find the most suitable combination for you. The titration process can be long and could require some additional appointments before you are stable on your dosage.

Based on the type of medication you're taking, follow up appointments could be scheduled monthly or quarterly. The appointment will involve your doctor checking that you are stable on the medication, noting any adverse effects you have had and making any adjustments needed to ensure you are in a safe dosage. You'll also have to attend a regular health check, which could include blood pressure, pulse and weight readings as well as an annual review.

Some people might be satisfied with their medication, and therefore do not require discussing their titration meaning adhd in more detail. If you're required to discuss your titration plan or treatment plan further, it is possible that you will be referred back to the private clinic who made your initial assessment. If this occurs, the titration appointment will be part of their consultation fee and they will receive their medication through an individual prescription (see Consultation fees above). This can cost more than an NHS prescription as the pharmacy will charge for the medication.