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Private ADHD Titration

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

Our service is able to provide private ADHD testing as an alternative to 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, as well as an evaluation using the typical ADHD questionnaires and rating scales.

After your examination, you will be informed if medication would be beneficial for your specific situation. This will be discussed at your follow-up appointment (which can be done in person via video link or by phone). Your doctor will explain what medication options are available and if you decide to start on medication we will recommend titrating dosage to ensure the balance of benefits and side effects for you.

This process may take several weeks and it involves gradually altering your child’s medication until the proper balance is achieved. It's not uncommon to need to adjust several times before determining the most effective one for your child's ADHD symptoms. It is important that parents are involved in the titration process and be aware of their child's behavior so that they can let the doctors know whether the medication is helping or causing adverse effects.

If you do not decide to return to NHS care, your medication will be issued with a prescription from a private pharmacy that you'll have 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 medication. This includes blood pressure and pulse measurements. Annual checks are also required.

Follow-up appointments

After the evaluation is completed, you can schedule follow-up appointments with the psychiatrist. Usually the appointment will take place on zoom video call but in certain circumstances it might be possible to schedule an audio-only consultation (again at an additional cost).

We will then go over treatment options and choose a bespoke, individualised adhd medication dosing medication adjustment. This will include a review of your medication dosage and an examination of any side effects you might be experiencing. The titration sessions cost PS150 for face-to-face sessions and PS60 by video or phone consultation. The pharmacy will be charged for any medication costs.

The psychiatrist will also ask you about your family history and the impact your ADHD symptoms can have on your life, as well as any issues with relationships you may be experiencing or other mental health issues you might be experiencing. ADHD is a genetic condition, so it's important to examine your family background to determine if you are at chance of developing this condition.

During this assessment it is crucial that you are honest and honest with your doctor, as they will use the information you provide to determine whether you have the diagnostic criteria for ADHD. This is a crucial part of the process, because if you don't do it, it could lead to an inaccurate diagnosis and therefore inappropriate prescribing of medication.

If you've decided you would like to be treated for your ADHD, we will then set up a follow-up appointment with one of our psychiatrists who specialise in this field. This can be done in the wake of your diagnosis if you are keen to begin treatment right away, or within two weeks if want to think about the implications of your diagnosis and the options that are available to you.

If you are unsure of what your preference is We suggest you speak to your GP prior to booking your private examination as some providers have different rules regarding whether they require a GP referral letter or not. 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 want an individual diagnosis of ADHD, medication is an important part of their journey. It isn't always easy to obtain an appointment with a psychiatrist on the NHS. NHS waiting lists are notoriously long, and GPs can be reluctant to refer patients on 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). You can choose a service who offers a private assessment service and titration. This can help you save time and be more convenient, especially if you have a busy schedule.

If you are recommended by this method the doctor you choose will assess you and decide whether or not you require to be titrated on medication. You'll need to complete forms that differ by provider, but the most common ones are self-reporting questions and medical histories that go to your childhood and into adulthood. These forms will help your clinician determine if there are any reasons that suggest that you shouldn't be taking ADHD medications, when they've been prescribed.

If you are being titrated the medication will consist of a mixture of stimulants and nonstimulant medicines. These will be carefully trialled and monitored to determine the most effective combination for you, taking into consideration any current conditions you suffer from. The titration process can be lengthy and may require some additional appointments before you are stable on your dosage.

The frequency of your follow-up appointments is contingent on the type and quantity of medication you are taking. They can be scheduled for monthly or quarterly. This will involve your clinician checking to see if you are on the right medication, logging any side effects you've experienced, and making any dosing adjustments needed to ensure that you remain on a dose that is safe. You will be required to attend an annual health check-up and regular health check-up that includes pulse, blood pressure and weight measurements.

Some people might be satisfied with their medication and don't have to discuss their titration further. For those who do need further discussions about their titration and Private Adhd Titration treatment plan it is possible that they will be passed back to the private clinic that made their initial assessment. If this happens, the titration appointment will be included in their consultation fee and they will receive their medication through a private prescription (see Consultation fees above). It could cost more than an NHS prescription as the pharmacy will charge for the medication.