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Private ADHD Titration

There is currently a nationwide shortage of medication that helps to treat ADHD symptoms. This is due to manufacturing issues and a growing global demand.

Our service is able to provide private ADHD titration 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 thorough assessment of your ADHD. This includes medical history and an assessment using the typical ADHD rating scales and questionnaires.

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

This is a process which could take a few weeks, and requires adjusting your child's dosage slowly until the right balance is reached. It is not uncommon to to titrate as high as three different medicines until you discover the one that is most suitable for your child's ADHD. It is important that parents are involved in the titration and be on the lookout for their child's behavior so that they can inform the doctor whether the medication is helping or causing adverse reactions.

If you do not decide to return to NHS care the medication you take will be issued with a prescription from a private pharmacy that you'll need to pay for at the pharmacy (this is not included in your consultation fee). You must attend regular appointments every six months to monitor your medication - this includes pulse and blood pressure readings. Annual reviews are also required.

Follow-up appointments

Once the evaluation has been completed you will be able to book follow up appointments with your psychiatrist, if necessary. Typically, the appointment will take place via a zoom video call but in certain circumstances it might be possible to have an audio-only consultation (again at an additional cost).

We will then go over treatment options and choose a bespoke, individualised ADHD medication adjustment. This will include a discussion and review of your medication dose, as well as any side effects that you may be experiencing. The titration sessions cost PS150 for face-toface sessions and PS60 by video or phone consultation. Costs for medication are extra and are paid directly to the pharmacy.

The psychiatrist will also ask you about your family history and the impact that your ADHD symptoms can 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 because ADHD can be an inheritable condition, and it is important to look into any family history that might indicate whether you are at risk of developing the disorder.

It is crucial to be honest and truthful with the clinician during the assessment, since the information they receive will be used to determine if your ADHD is in line with 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 be treated for ADHD We'll set up an appointment for a follow-up visit with a psychiatrist who specializes in this area. If you'd like to start treatment immediately you can start treatment immediately following the diagnosis. You can also take two weeks to think about the implications of the diagnosis and the options available to you.

If you aren't sure which one you prefer, we suggest that you talk with your GP before booking your private appointment as certain providers have different policies regarding whether they require a GP referral letter or not. Make sure that your GP accepts the Shared Care Agreement, which means you will be referred to them when you leave the clinic for medication prescription.

Medication

For many people who want an individual diagnosis of ADHD medication is an important aspect of their journey. Finding prescriptions from an NHS psychiatrist can be a hassle and lengthy. NHS waiting lists can be notoriously how long does adhd titration take, and GPs might be reluctant to refer their patients to specialist services.

Requesting your GP to refer through Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). You can choose a service that provides an assessment on your own and the titration. This can help you save time and be more convenient, especially when you are on a tight schedule.

Once you've been diagnosed, your doctor will evaluate your condition to determine if you require medication titration. You will be asked to fill in forms that differ by doctor but the most important ones are self-report forms and medical histories from childhood to adulthood. These forms will assist your doctor identify any factors that might suggest you should not take ADHD medications if they are prescribed.

If you are being titrated on medication, it is likely to include a mix of stimulants and non-stimulant drugs. They will be examined and monitored to determine the most suitable combination for you. The titration can be a lengthy process and may require multiple appointments before your dose is stable.

Depending on the type of medication you are taking, follow up appointments can be scheduled either monthly or quarterly. Your doctor will ensure that you are stable with the medication, record any side effects that you have experienced and make any necessary adjustments to ensure that you remain on a dose that is safe. You will be required to attend an annual health check-up and routine health examination which includes blood pressure, pulse, and weight measurements.

For some it could be that they are content with their medication and don't require an additional discussion regarding their titration. However, for those who require further discussion about their titration and treatment plans, it's possible to be referred back to the private clinic that performed their initial assessment. If this happens, the titration appointment will be included in the consultation fee and they will be given their medication on a private prescription (see Consultation fees above). This can cost more than prescriptions from the NHS since the pharmacy will charge for the medication.