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Private ADHD Titration

There is a current national shortage of medications to treat ADHD symptoms. This is due to manufacturing problems and an increased demand in the world.

Our service provides private ADHD adjustment instead of waiting for NHS funding through Right to Choose. Our assessment fees cover the cost of one prescription.

Titration

A highly experienced consultant psychiatrist will conduct a comprehensive assessment of your ADHD. This includes a thorough medical history, and an evaluation using the common ADHD questionnaires and rating scales.

After your evaluation You will be advised if medication would be beneficial for your specific situation. This will be discussed at your follow-up appointment (which can take place in person, by video link or over the phone). Your clinician will explain the different options available for you to take medication and if you decide to begin taking medication, we will suggest titrating dosage to ensure 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 what is titration adhd achieved. It's not uncommon to have to titrate as high as three different medicines before you find the one that best fits your child's ADHD. It's important for parents to take part in this process of titration and keep an eye on their child's behavior so that they can let the doctor know whether the medication is working or causing side effects.

If you decide to return to NHS treatment, you will receive a private prescription for your medication. You will be required to pay at the pharmacy. This is not included in the consultation cost. You will be required to attend six monthly appointments to monitor your medication - this includes blood pressure and pulse readings. Annual reviews are also required.

Follow-up appointments

After the evaluation is completed, you can schedule follow-up appointments with your psychiatrist. Typically, the appointment will take place through a video call using zoom but in certain circumstances it may be possible to have an audio-only consultation (again at an extra cost).

We will then go over treatment options and choose a bespoke, individualised ADHD medication titration. This will include a review and discussion of your dosage of medication, as well as any side effects that you may be experiencing. These titrations cost PS150 for face-to-face sessions, and PS60 via video or telephone consultation. The pharmacy will charge you for any medication costs.

The psychiatrist will also inquire with you about your family history and the impact your ADHD symptoms can have on your life, including any issues with your relationships that you may be facing or any other mental health issues you may be experiencing. ADHD can be a genetic condition, which is why it's crucial to examine your family history to determine if you're at a higher risk of developing this disorder.

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 whether your ADHD fits the diagnostic criteria. This is an important step, since an incorrect diagnosis could result in a prescription for medication that is not appropriate.

If you decide to seek treatment for ADHD, we'll arrange an appointment to follow-up with a psychiatrist that is skilled in this field. This can be scheduled within the first few days of your diagnosis if you are eager to begin treatment immediately or within two weeks if would like more time to consider the implications of your diagnosis and the alternatives available to you.

If you are unsure of which one you prefer it is recommended that you speak to your GP prior to booking your private assessment as some providers have different rules regarding whether they require an GP referral letter or not. Find out if your GP accepts a Shared Care Agreement, which means you will be referred to them once you leave the clinic for prescriptions for medication.

Medication

The medication process is an essential part of the journey for many people looking for a private ADHD diagnosis. It isn't always easy to obtain a prescription from a psychiatrist on the NHS. NHS waiting lists can be extremely long and GPs might be reluctant to refer their patients to specialist services.

One method to circumvent this is to ask your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). This means that you can choose one that provides a private assessment and titration service. This can reduce your wait time considerably and can be more convenient if you are working and have a busy schedule.

After you've been recommended by this method the doctor you choose will assess you and decide whether or not you're required to be adjusted on your medication. You will be asked to fill in forms that are different for each provider, but the most important ones are self-report forms and medical histories from childhood to adulthood. These forms will assist your doctor to determine if there are any reasons that suggest you shouldn't take ADHD medication, in the event that they've been prescribed.

If you are titrated on medication, it will typically include a mix of stimulants and non-stimulant drugs. The combination will be carefully tested and monitored to find the most suitable combination for you, taking into consideration any existing conditions you have. The titration process may be long and could require several additional appointments before you're stable on your dosage.

The frequency of your follow-up appointments will depend on the type and amount of medication you're taking. They could be scheduled monthly or quarterly. The appointment will involve your doctor checking to see if you are stable on the medication, noting any adverse effects you've experienced and making any necessary adjustments to ensure that you're on a dose that is safe. You are required to attend an annual review and a routine health examination which includes blood pressure, pulse, and weight measurements.

Some patients may be content with their treatment and do not have to discuss their titration process further. If you need to discuss your titration or treatment plan in more detail, it is possible that you'll be sent back to the private doctor who performed your initial assessment. In this case, the titration will be included in the consultation fee. The medication will then be provided through an individual prescription. This can cost more than an NHS prescription because the pharmacy will charge for the medication.