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Private ADHD Titration

There is a national shortage of medications that treat ADHD symptoms. This is due to manufacturing issues and a growing global demand.

Our service can offer private ADHD titration as an alternative to waiting for NHS funding through Right to Choose. Our assessments are free and include the cost of one prescription.

Titration

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

Following your assessment you will be advised if medication is considered to be beneficial for your situation. This will happen during your follow-up appointment (which can be done in person via video link or Near by telephone). 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 the dose to optimise the balance of benefits and side effects for you.

This process may take a few weeks and it involves gradually altering your child's dosage until the proper balance has been achieved. It is not unusual to need to titrate two or three medicines before finding the best one for your child's ADHD symptoms. It is essential that parents are involved in the titration and be on the lookout for their child's behavior so they can let the doctors know whether the medication is working or causing adverse effects.

Unless you have decided to return to NHS care, your medication will be given as a private prescription which you will need 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 the measurement of pulse and blood pressure. Annual reviews are also required.

Follow-up appointments

After the assessment is completed you will be able to make follow-up appointments with the psychiatrist, as necessary. Typically, the appointment will take place on zoom video call but in certain circumstances it is possible to have an audio only consultation (again at an extra cost).

At this point we will discuss any treatment options and come up with a unique ADHD medication titration program. This will include a review and discussion of your medication dosage and any side effects that you might be experiencing. The cost of these titration appointments is PS150 for face-to face sessions and PS60 for online or telephone video consultations. Costs for medication are extra and are paid directly to the pharmacy.

The doctor will also ask you about your family history and the impact that your ADHD symptoms have on your life, including any issues with your relationships that you may be having or other mental health problems that you may be suffering from. This is due to the fact that ADHD is a genetic disorder and it is important that we assess any family history that could indicate that you're at risk of developing the disorder.

It is essential that you are honest and truthful with the clinician 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 because an incorrect diagnosis could lead to inappropriate medication prescription.

If you've decided you'd like to be treated for your ADHD, Near by we will then schedule a follow-up appointment with one of our psychiatrists who specialize in this field. If you want to start treatment right away it is possible to start treatment at the time of diagnosis. You can also take two weeks to consider the implications of the diagnosis and what options you have.

We suggest that if are unsure about your preferences, talk with your GP prior to booking your private assessment. Certain providers have different policies regarding whether or not they require a GP letter. Find out if your GP accepts a Shared Care Agreement, which means you will be referred to them after you leave the clinic for prescription medication.

Medication

For many people who seek a private diagnosis of ADHD, medication is a key part of their journey. It can be difficult to get prescriptions from psychiatrists on the NHS. NHS waiting lists are notoriously long and GPs are often reluctant to refer patients on to specialist services.

One method to circumvent this is to ask your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). You can select a provider that provides an assessment on your own and the titration. This will help you reduce time and be more convenient, especially when you are on a tight work schedule.

Once you've been referred, your clinician will assess you to determine if require medication titration. You'll need to fill out forms that differ by provider but the most frequent ones are self-reporting forms and medical histories dating to your childhood and into adulthood. These forms will assist your doctor to determine if there are any factors that could mean you shouldn't take ADHD medication, even if they have been prescribed.

If you are on a titration medication, it is likely to include a mix of stimulants and non-stimulant medications. They will be carefully tested and monitored to determine the most suitable combination for you, taking into consideration any existing conditions you have. The process of titration can be long and could require some additional appointments before you're stable on your dose.

The frequency of your follow-up appointments will be contingent on the type and quantity of medication that you are taking. They can be monthly or quarterly. The appointment will involve your doctor checking to see if you are stable on the medication, logging any side effects you've experienced, and making any necessary adjustments to ensure that you're in a safe dosage. You are required to attend an annual health check-up and routine health exam that includes pulse, blood pressure and weight measurements.

Some patients may be content with their treatment and don't require discussing their titration further. If, however, Near by they do need further discussions about their titration and treatment plan it's possible that they will be passed back to the private clinic that performed their initial assessment. In this instance, the titration will be included in the consultation cost. The medication will be administered via a private prescription. This may cost more than prescriptions from the NHS since the pharmacy will charge for the medication.