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Private ADHD Titration

There is a nationwide shortage of medication to treat ADHD symptoms. This is due to manufacturing problems and an increase in demand worldwide.

Our service is private ADHD treatment instead of waiting for NHS funding via Right to Choose. Our assessments cost include the cost of one prescription.

Titration

A comprehensive assessment of your ADHD symptoms will be conducted with a highly experienced consultant Psychiatrist. This includes a complete medical history, and an evaluation using the typical ADHD questionnaires and rating scales.

Following your assessment you will be advised whether medication may be beneficial in your particular situation. This will be discussed during your follow-up appointment (which may be scheduled in person, by video link or over the phone). Your doctor will go over the various medication options available. If you decide to begin medication, we can help you to titrate your dose to maximize the benefits/side effects balance for you.

This process could take several weeks, and involves gradually adjusting your child's medication until the proper balance is achieved. It is not uncommon to have to titrate up to three different medications before you can find the one that best suits your child's ADHD. It is essential that parents take part in the titration process and be aware of their child's behavior so that they can inform the doctor if the medication is helping or causing adverse effects.

If you decide to return to NHS treatment you will receive a private prescription for your medication. You will be required to pay the pharmacy. This is not included in the consultation fee. You will be required to attend regular appointments every six months to monitor your medication, which includes blood pressure and pulse readings. Annual checks are also required.

Follow-up appointments

After the assessment is complete and you are satisfied, you can schedule follow-up appointments with your psychiatrist. The appointment usually takes place via a zoom video call, although in certain cases it is possible to schedule an audio-only consultation (again at an extra cost).

We will then discuss treatment options and decide on an individualised, bespoke ADHD medication titration. This will include an assessment of your medication dosage and a discussion of any possible negative side effects you may be experiencing. The cost for these titration appointments is PS150 for face to face sessions and Private ADHD Titration PS60 for online or phone video consultations. The pharmacy will charge you for any charges for medication.

The psychiatrist will ask you questions about your family history as well as the impact of your ADHD symptoms on your life, and any mental health issues you might be experiencing. This is because ADHD is a genetic condition and it is essential to examine any family history that may indicate that you're at risk of developing the disorder.

During the assessment, it is vital that you are truthful and honest with your doctor, as they will use the information you provide to determine whether you are able to meet the diagnostic criteria for ADHD. This is an essential step in the process since a failure to do so could lead to an inaccurate diagnosis, and thus an incorrect prescribing of medication.

If you decide to seek treatment for ADHD we'll schedule an appointment for a follow-up visit with a psychiatrist who is specialized in this area. If you'd like to begin treatment immediately, you can do this at the time of diagnosis. You can also take two weeks to think about the implications of the diagnosis and what options you have.

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

Medication

For many people who seek an official diagnosis of ADHD, medication is a crucial element of their treatment. The process of getting a prescription from an NHS psychiatrist can be difficult and time-consuming. NHS waiting lists are notoriously long and GPs can be reluctant to refer patients 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). This means that you can select a provider that offers an assessment and titration. This can help you save time and be more convenient, particularly if you have a busy work schedule.

After you have been referred, your clinician will assess you to determine if you require medication titration. You will need to fill out forms that are different for each provider but the most frequent ones are self-reporting questionnaires and medical histories that go to your childhood and into adulthood. These forms will assist your doctor to determine if there are any circumstances that indicate you shouldn't take ADHD medications, when they've been prescribed.

If you are titrated, the medication will consist of stimulants and non-stimulant drugs. These will be thoroughly assessed and monitored to determine the best combination for you. The process of titration can be lengthy and may need several additional appointments before you're stable on your dose.

Depending on the kind of medication you're taking, follow-up appointments could be scheduled monthly or quarterly. The appointment will involve your doctor checking to see if you are taking the correct medication, logging any side effects you have had and making any necessary adjustments to ensure that you remain in a safe dosage. You will be required to attend an annual review as well as a regular health check-up that includes pulse, blood pressure, and weight measurements.

Some patients may be content with their medication, and therefore do not need to discuss their titration process further. If, however, they require further discussions regarding their titration and treatment plans, it is possible that they will be referred back to the same private clinic that performed their initial assessment. If this happens, the titration appointment will be included in their consultation fee, and they will be given their medication on private prescription (see Consultation fees above). This could cost more than prescriptions from the NHS, as the pharmacy will charge you for the medication.