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Private ADHD Titration

There is currently a nationwide shortage of medications that treat ADHD symptoms. This is due both to manufacturing issues and an increased demand in the world.

Our service is able to provide private ADHD titration as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees 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 an examination of your medical history as well as an assessment using the typical ADHD rating scales and questionnaires.

Following your assessment you will be advised whether medication may be beneficial in your case. This will be discussed at your follow-up appointment (which could be in person via video link or via phone). Your doctor ADHD Medication Titration will go over the different options for medication available. If you decide to start taking medication, we will help you the opportunity to increase your dosage to optimize the benefits/side-effects balance for you.

This process may take several weeks and it involves gradually altering your child's dosage until the proper balance is achieved. It is not unusual to need to adjust two or three medicines before finding the best one for your child's ADHD symptoms. It is essential that parents participate in the titration process and be aware of their child's behavior so they can inform doctors whether the medication is helping or causing adverse reactions.

If you decide to go back to NHS treatment you will receive an individual prescription for your medication. You will be required to pay the pharmacy. This is not included in the consultation cost. You'll need to attend six-monthly appointments to monitor your medication. This includes the measurement of pulse and blood pressure. Annual checks are also required.

Follow-up appointments

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

At this point, we will discuss treatment options and decide on a custom-made ADHD medication titration plan. This will include a review of your medication dose and a discussion of any possible side effects you might be experiencing. These titration sessions 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 ask you questions regarding your family history as well as the effects of your ADHD symptoms on your daily life and any relationship problems or mental health issues you might be experiencing. ADHD can be a genetic condition, which is why it's crucial to look into your family's background to determine if you're at a higher chance of developing this condition.

During this assessment it is vital that you are truthful and honest with the clinician who will use the information you provide to determine whether you are able to meet the diagnostic criteria for ADHD. This is a crucial step, since an incorrect diagnosis could result in a prescription for medication that is not appropriate.

If you decide to be treated for ADHD we'll schedule a follow-up appointment with a psychiatrist who is specialized in this area. If you'd like to begin treatment immediately, you can do this when you are diagnosed. You can also wait 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 talk with your GP prior to booking your private examination. Certain providers have different guidelines regarding whether or not they require a GP letter. Check if your GP accepts the Shared Care Agreement, which means that you will be referred to them after you leave the clinic to get a prescription medication.

Medication

Medication is an integral element of the process for many who are seeking an official ADHD diagnosis. Finding prescriptions from an NHS psychiatrist can be difficult and lengthy. NHS waiting lists are notoriously long and GPs may be reluctant to refer patients on to specialist services.

Asking your GP to refer you to Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). You can pick a provider that provides a private assessment service and titration. This can help you reduce time and be more convenient, particularly in the event of a hectic work schedule.

If you are diagnosed, your doctor will examine you to determine if need medication titration. 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 going to your childhood and into adulthood. These forms will assist your doctor identify any conditions that could indicate that you shouldn't be taking ADHD medication if prescribed.

If you are being titrated on medication, it is likely to include a mix of stimulants and non-stimulant drugs. They will be tested and monitored to find the right combination for you. The titration process can be long and may require multiple appointments before you are stable.

The frequency of your follow-up appointments will depend on the type and quantity of medication that you are taking. They can be scheduled for monthly or quarterly. The appointment will involve your doctor ADHD Medication Titration checking to see if you are stable on the medication, logging any side effects you have had and making any adjustments needed to ensure you are on a dose that is safe. You will be required to go to an annual health check-up and routine health examination which includes blood pressure, pulse, and weight measurements.

For some people, it may be that they are content with their medication and don't require a further discussion about their titration. If you're looking to discuss your titration plan or treatment plan in more detail, it is possible that you'll be referred back to the private clinic who performed your initial assessment. If this occurs, the titration appointment will be included in the consultation fees and they will be given their medication on an individual prescription (see Consultation fees above). It could cost more than an NHS prescription as the pharmacy will charge for the medication.