Private ADHD Titration

There is currently a nationwide shortage of medications to treat ADHD symptoms. This is due both to manufacturing problems as well as an increased demand in the world.

Our service offers private ADHD titration instead of waiting for NHS funding through Right to Choose. Our assessment fees include the cost of one prescription.

Titration

A highly skilled consultant psychiatrist will conduct a thorough evaluation of your adhd titration waiting list. This includes medical history and an assessment using the standard ADHD rating scales and questionnaires.

After your examination, you will be informed whether medication is appropriate for your specific situation. This will be discussed during your follow-up appointment (which could be in person, by video link or over the phone). Your doctor will go over the different options for medication available. If you decide to begin medication, we can help you the opportunity to increase your dosage to optimize the benefits/side-effects balance for you.

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

If you do not decide to return to NHS treatment, your medication will be given as a private prescription which you'll need to pay for at the pharmacy (this is not included in the consultation fee). You will need to keep up with your appointments every six months to monitor your medications. This includes the measurement of pulse and blood pressure. Annual reviews are also required.

Follow-up appointments

Once the assessment is completed and you are satisfied, you can schedule follow-up appointments with the psychiatrist. The appointment is usually done by video conference using zoom. In some circumstances, it might be possible for an audio-only appointment to be conducted (again with an additional cost).

We will then go over treatment options and choose the most appropriate, customized ADHD medication adjustment. This will include a review and discussion of your medication dosage and any side effects that you might be experiencing. The titration sessions cost PS150 for face-to-face sessions, and PS60 by video or phone consultation. The pharmacy will charge you for any medication costs.

The psychiatrist will also inquire with you about your family background and the impact your ADHD symptoms impact your life, as well as any relationship issues you might be facing or any other mental health problems that you may be suffering from. ADHD can be a hereditary condition, so it's important to examine your family background to determine if you are at chance of developing this disorder.

It is essential to be honest and open with the clinician during the assessment, since the information they gather will be used to determine whether your ADHD fits the diagnostic criteria. This is an important step, since an incorrect diagnosis could result in an inappropriate prescription of medication.

If you've decided you would like to receive treatment for your ADHD We will set up a follow-up appointment with one of our psychiatrists who specialize in this area. This can be scheduled at the time of your diagnosis if are eager to begin treatment right away or within two weeks if want to think about the implications of your diagnosis and the alternatives available to you.

If you're not sure which one you prefer We suggest you speak to your GP prior to booking your private examination as some providers have different policies regarding whether they require the submission of a GP referral letter or not. We also advise to check if your GP accepts a 'Shared Care Agreement', which 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

The medication process is an essential aspect of the treatment process for many who are looking for an official ADHD diagnosis. It isn't easy to obtain prescriptions from psychiatrists on the NHS. NHS waiting lists are notoriously long, and GPs are often reluctant to refer patients to specialist services.

One method to circumvent this is to ask your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). This means you can select one that provides an assessment and titration service. This will cut down your waiting time by a significant amount and is more convenient if you are working and have a full schedule.

Once you've been diagnosed, your doctor will evaluate you to determine if you require medication adjustment. You will need to complete forms that are different for each provider however the most commonly used ones are self-reporting questionnaires and medical histories dating to childhood and adulthood. These forms will assist your doctor identify any factors that might suggest you should not take ADHD medication if prescribed.

If you are titrated on medication, this will usually be a combination of non-stimulant and stimulant medications. 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 for adhd process can be lengthy and may require several extra appointments before you are stable.

The frequency of your follow-up appointments is contingent on the type and amount of medication you are taking. They could be scheduled monthly or quarterly. This will include your physician checking to see if you are on the right medication, logging any side effects you have had and making any necessary adjustments to ensure that you remain on a dose that is safe. You will also be required to undergo a regular health check that may include blood pressure and pulse readings, as well as weight and weight measurements as well as an annual review.

For some, it may be that they are satisfied with their medication and don't need a further discussion about their titration. For those who require further discussions regarding their titration and treatment plans, it's possible that they will be referred back to the private clinic that conducted their initial assessment. If this occurs, the titration appointment will be included in their consultation fee and they will be given their medication via an individual prescription (see Consultation fees above). This could cost more than an NHS prescription as the pharmacy will charge for the medication.