Private ADHD Titration

There is a nationwide shortage of medication to treat ADHD symptoms. This is due to manufacturing problems and increased global demand.

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

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A highly experienced consultant psychiatrist will conduct a comprehensive assessment of your ADHD. This will include a medical history and an assessment using the standard ADHD rating scales and questionnaires.

After your evaluation, you will be informed that medication may be beneficial in your case. This will take place at your follow-up appointment (which can be scheduled in person, via video link or by telephone). Your clinician will discuss the various options for medications available. If you decide to begin medication, we will offer you to titrate your dose to optimize the benefits/side-effects balance for you.

This process may take a few weeks and requires gradually altering your child’s medication until the right balance is reached. It is not uncommon to have to adjust up to three different medications until you discover the one that is most suitable for your child's ADHD. It is essential for parents to participate in this titration process and keep an eye on their child's behavior to let the doctor know whether the medication is helping or causing side effects.

If you do not decide to return to NHS treatment the medication you take will be given as an individual prescription that you'll need to pay for at the pharmacy (this is not included in the consultation fee). You must attend regular appointments every six months to monitor your medication. This includes blood pressure and pulse readings. Annual exams are also required.

Follow-up appointments

After the assessment is completed, you'll be able to make follow-up appointments with the psychiatrist as appropriate. The appointment will usually be conducted via zoom video call. However, in some cases, it may be possible for an audio-only appointment to be conducted (again at an additional cost).

At this point we will discuss any treatment options we have and come up with a unique ADHD medication titration program. This will include a review and discussion of your medication dose, as well as any side effects that you may be experiencing. The cost of these titration adhd adults appointments is PS150 for face-to-face sessions and PS60 for telephone or online video consultations. The pharmacy will be charged for any medication costs.

The doctor will also ask you about your family history and the impact that your ADHD symptoms can have on your life, as well as any relationship issues you might be facing or any other mental health issues you might be experiencing. This is because ADHD is a genetic condition and it is important to examine any family history that could indicate that you're at risk of developing the disorder.

During this assessment it is vital that you are honest and honest with the clinician in the sense that they will be using the information you provide to determine if you meet the diagnostic criteria for ADHD. This is an important step, as the wrong diagnosis can lead to inappropriate medication prescription.

If you have decided that you would like to be treated for your ADHD We will schedule a follow-up appointment with one of our psychiatrists that specialize in this area. This can be scheduled within the first few days of your diagnosis if you are eager to begin treatment right away, or within two weeks if you want to consider the implications of your diagnosis and the possibilities available to you.

If you're not sure which one you prefer We suggest you speak with your GP prior to scheduling your private examination as some providers have different policies regarding whether they require a GP referral letter or not. Find out if your GP accepts the Shared Care Agreement, which means you will be referred to them when you leave the clinic to get a medication prescription.

Medication

For many people who seek a private diagnosis of ADHD, medication is an important part of their journey. Getting an appointment with an NHS psychiatrist can be difficult and time-consuming. NHS waiting lists are notoriously long, and GPs are often reluctant to refer patients 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). This means you can select a provider that offers an assessment and titration service. This can help you to save time and also be more convenient, especially when you are on a tight schedule.

Once you have been identified as a candidate for this treatment your chosen doctor will assess you and decide whether or not you require to be titrated on medication. You'll have to complete forms that differ by provider however the most commonly used ones are self-reporting questionnaires and medical histories going back to childhood and adulthood. These forms will allow your doctor to determine if there are any circumstances that indicate you shouldn't be taking ADHD medication, in the event that they've been prescribed.

If you are titrated, the medication will be a combination stimulants and nonstimulant medications. These will be carefully trialled and monitored to find the most effective combination for you, taking into consideration any medical conditions you may have. The titration can be long and may require multiple appointments before you are stable.

Depending on the type of medication you are taking, follow-up appointments could be scheduled monthly or quarterly. This will include your physician making sure that you are taking the correct medication, noting any adverse effects you've experienced, and making any adjustments needed to ensure that you're in a safe dosage. You'll also be required to undergo a regular health check that may include blood pressure, pulse and weight readings as well as an annual review.

For some it could be because they are content with their medication and don't need an additional discussion regarding their titration. If, however, they require further discussion about their titration and treatment plans, it is possible that they will be passed back to the private clinic that performed their initial assessment. In this scenario the titration will be included in the consultation fee. The medication will be given via the private prescription. This can cost more than an NHS prescription since the pharmacy will charge for the medication.