Private ADHD Titration

There is currently a nationwide shortage of medication to treat ADHD symptoms. This is due both to manufacturing problems and an increased global demand.

Our service is private adhd titration uk medication titration instead of waiting for NHS funding via Right to Choose. Our assessment fees cover the cost of a single prescription.

Titration

A highly skilled consultant psychiatrist will conduct a thorough 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 assessment, you will be informed that medication may be beneficial for your specific situation. This will take place at your follow-up appointment (which can be scheduled in person via video link or by phone). Your doctor will explain the different options available for you to take medication and, if you choose to begin taking medication, we will recommend titrating the dose to maximize the benefits/side effects balance for you.

This is a process which may take several weeks, and involves adjusting your child's medication gradually until the proper balance is achieved. It is not unusual to have to titrate three or four medications before determining the most effective one for your child's ADHD symptoms. It is crucial that parents take part in the titration process and be aware of their child's behavior so they can inform the doctor whether the medication is working or causing adverse effects.

If you decide to return to NHS treatment, your medication will be provided with an individual prescription that you will need to pay for at the pharmacy (this is not included in the consultation fee). You must attend six monthly appointments to monitor your medication. This includes pulse and blood pressure readings. 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. The appointment will usually be conducted through a zoom video call. However, in some circumstances, it might be possible to have an audio-only appointment to be scheduled (again with an additional cost).

In this session, we'll discuss treatment options and decide on a custom-made ADHD medication titration program. This will include a review and discussion of your medication dosage, as well as any side effects that you may be experiencing. The cost of these titration sessions is PS150 for face-to-face sessions and PS60 for telephone or online video consultations. The cost of medication is additional and are paid directly to the pharmacy.

The psychiatrist will also inquire with you about your family history and the impact that your ADHD symptoms can have on your life, including any relationship issues you might be experiencing or other mental health problems that you may be suffering from. ADHD can be a hereditary condition, so it's important to assess your family history in order to determine if you are at a higher chance of developing this disorder.

It is essential that you are honest and transparent to the doctor during the assessment, since the information they gather will be used to determine if your ADHD meets the diagnostic criteria. This is a crucial part of the process, as failing to do so could result in an incorrect diagnosis, diagnosis and thus an incorrect prescribing of medication.

If you have decided that you would like to receive treatment for your ADHD, we will then arrange a follow up appointment with one of our psychiatrists who specialize in this field. This can be done in the wake of your diagnosis if are eager to begin treatment right away or within two weeks if would like more time to consider the implications of your diagnosis and the options that are available to you.

We recommend that if you are unsure about your preferences, talk to your GP prior to scheduling your private appointment. Certain providers have different policies regarding whether they require an GP letter. We also suggest to confirm that your GP accepts a "Shared-Care Agreement', which means that after you have been discharged from the clinic you will be referred back to them for the prescription for medication.

Medication

For many people who want an official diagnosis of ADHD, medication is a key part of their journey. Getting prescriptions from an NHS psychiatrist can be a challenge and lengthy. NHS waiting lists can be extremely long and GPs may be reluctant to refer their patients to specialist services.

One method titration to circumvent this is to request your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). This means that you can choose one that provides an assessment and titration service. This can help you reduce time and be more convenient, especially if you have a busy work schedule.

Once you've been diagnosed, your doctor will examine you to determine if you need medication titration. You will be asked to fill in forms that are different for each provider, but the most common ones are self-report forms and medical histories from childhood and 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 the medication will consist of stimulants and nonstimulant medicines. They will be carefully tested and monitored to find the most suitable combination for you, taking into consideration any existing conditions you have. The process of titration can be lengthy and may require several additional appointments before you are stable on your dose.

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

For some individuals it could be that they are happy with their medication and don't need a further discussion about their titration. If you're looking to discuss your titration or treatment plan further it is likely that you will be referred back to the private clinic that performed your initial evaluation. In this case the titration is included in the consultation fee. The medication will be administered via an individual prescription. This could cost more than prescriptions from the NHS, as the pharmacy will charge for the medication.