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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 increased demand in the world.

Our service is able to offer private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessments cost include the cost of one prescription.

Titration

A highly experienced psychiatrist consultant will conduct a comprehensive assessment of your ADHD. This will include an examination of your medical history as well as an assessment using the standard ADHD rating scales and questionnaires.

After your assessment You will be advised whether medication is appropriate for your particular situation. This will be discussed at your follow up appointment (which could be in person by video link, in person or by telephone). Your physician will go over the various medication options available. If you decide to start medication, we will offer you to titrate your dose to maximize the benefits/side effects balance for you.

This process can take several weeks, and involves gradually adjusting your child's medication until the appropriate balance is achieved. It's not uncommon to have to titrate several times before determining the most effective one for your child's ADHD symptoms. It's important for parents to take part in this process of titration and keep a close eye on their child's behavior, so that they can let the doctor know whether the medication is helping or causing adverse effects.

If you decide to go back to NHS treatment you will be issued a private prescription for your medication. You will be required to pay at the pharmacy. This is not included in the consultation fee. You must attend six monthly appointments to monitor your medication, which includes blood pressure and pulse readings. Annual reviews are also required.

Follow-up appointments

After the assessment is complete and you are satisfied, you can schedule follow-up appointments with the psychiatrist. The appointment is typically conducted through a zoom video call. However, in certain circumstances, it might be possible to have an audio-only consultation to be scheduled (again at an additional cost).

We will then go over treatment options and choose an individualised, bespoke ADHD medication adjustment. This will include a review of your medication dosage and an examination of any negative side effects you may be experiencing. The cost for these titration appointments is PS150 for face-to face sessions and PS60 for online or telephone video consultations. The pharmacy will charge you for any charges for medication.

The psychiatrist will ask you questions about your family history and the impact of your ADHD symptoms on your daily life and any relationship problems or mental health issues you might be suffering from. ADHD can be a genetic condition, which is why it's crucial to examine your family history to determine if you are at a greater chance of developing this disorder.

It is important that you are honest and truthful with the clinician during this evaluation, as the information they gather will be used to determine whether your ADHD meets the diagnostic criteria. This is a crucial step in the process, since a failure to do so could result in an incorrect diagnosis, and thus an incorrect prescribing of medication.

If you've decided that you'd like to be treated for your ADHD, we will then set up a follow-up appointment with one of our psychiatrists that specialize in this field. This can be scheduled within the first few days of your diagnosis if are keen to begin treatment immediately, or within two weeks if want to consider the implications of your diagnosis and the alternatives that are available to you.

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

Medication

For many people who seek an official diagnosis of ADHD medication is a crucial element of their treatment. It can be difficult to get prescriptions from psychiatrists on the NHS. NHS waiting lists are notoriously long, and GPs may be reluctant to refer patients on to specialist services.

Asking your GP to refer through Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). This means that you can select a provider that offers an assessment and titration service. This can help you reduce time and be more convenient, particularly when you are on a tight schedule.

Once you have been recommended by this method the doctor you choose will assess you and decide whether or not you're required to be titrated on medication. You will be asked to fill out forms that differ by doctor but the most common ones are self-report questionnaires and medical histories from childhood to adulthood. These forms will assist your doctor to determine if there are circumstances that indicate you shouldn't take ADHD medications, when they've been prescribed.

If you are being titrated the medication will be a combination stimulants and nonstimulant medications. These will be thoroughly tested and monitored to find the most suitable combination for you. The titration process can be a lengthy process and may require a number of additional appointments before you are stable.

Depending on the type of medication you're taking, follow-up appointments could be scheduled monthly or quarterly. Your physician will make sure whether you are stable on the medication, note any side effects that you've experienced and make any needed adjustments to ensure that you remain on a dose that is safe. You will also be required to attend a routine health check which can include blood pressure, pulse and weight readings and an annual review.

For some people it could be that they are happy with their medication and don't need an additional discussion regarding their titration. If you need to discuss your titration plan or treatment plan in more detail it is likely that you'll be referred back to the private clinic that performed your initial evaluation. If this happens, the titration appointment will be included in their consultation fee and they will be given their medication through private prescription (see Consultation fees above). This could cost more than an NHS prescription because the pharmacy will charge for the medication.