Private ADHD Titration

There is a current national shortage of medication to treat ADHD symptoms. This is due to manufacturing issues and increased global demand.

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

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A comprehensive assessment of your ADHD symptoms will be carried out by a highly experienced consultant psychiatrist. This includes a thorough medical history, as well as an assessment using the typical ADHD questionnaires and rating scales.

After your evaluation, you will be advised whether medication may be beneficial in your particular situation. This will happen during your follow-up appointment (which can be done in person, via video link or via phone). Your clinician will explain what medication options are available and, if you choose to start on medication we will offer to titrate the dose to maximize the benefits/side effects balance for you.

This is a process which could take a few weeks. It involves adjusting the dosage of your child's medication gradually until the appropriate balance is achieved. It's not uncommon to to adjust up to three different medications until you discover the one that is most suitable for your child's ADHD. It is essential that parents take part in the titration and keep an eye out for their child's behavior so that they can inform the doctor whether the medication is working or causing adverse effects.

If you do not decide to return to NHS care, your medication will be given as a prescription from a private pharmacy that you will need to pay for at the pharmacy (this is not included in your consultation fees). You will be required to attend six monthly appointments to monitor your medication, which includes blood pressure and pulse readings. Annual reviews are also required.

Follow-up appointments

Once the evaluation has been completed, you'll be able to make appointment with your psychiatrist, if necessary. Usually the appointment will take place via a zoom video call however in some instances it might be possible to do an audio only consultation (again at an additional cost).

We will then discuss the options for treatment and then decide on an individualised, bespoke ADHD medication titration meaning adhd. This will include a review of your medication dosage as well as a discussion of any possible side effects you might be experiencing. These titrations cost PS150 for face-toface sessions and PS60 via video or telephone consultation. The pharmacy will charge you for any charges for medication.

The psychiatrist will also ask you about your family history and the impact that your ADHD symptoms have on your life, including any issues with relationships you may be experiencing or other mental health problems that you may be experiencing. ADHD can be a hereditary condition, and it's vital to assess your family history in order to determine if you are at a greater risk of developing this disorder.

During this assessment it is essential that you are truthful and honest with your doctor who will be using the information you provide to determine whether you meet the diagnostic criteria for ADHD. This is an important step, as the wrong diagnosis can result in an inappropriate prescription of medication.

If you have decided that you'd like to receive treatment for your ADHD We will schedule a follow-up appointment with one of our psychiatrists that specialize in this field. If you want to start treatment immediately you can start treatment at the time of diagnosis. Or you can wait for two weeks before considering the implications of the diagnosis and titration adhd treatment what options you have.

We recommend that if you are unsure about your preferences, talk to your GP prior to booking your private examination. Certain providers have different guidelines regarding whether they require a GP letter. We also advise 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

Medication is a key part of the journey for many who are looking for a private ADHD diagnosis. It isn't easy to obtain an appointment with a psychiatrist on the NHS. NHS waiting lists can be extremely long and GPs might be reluctant to refer their patients to specialist services.

Requesting your GP to refer you to Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). This means that you can choose one that provides an assessment and titration service. This can cut down on wait time by a significant amount and is more convenient when you are working and have a busy schedule.

If you are diagnosed, your doctor will examine your condition to determine if you require medication adjustment. You will be asked to fill out forms that differ by doctor but the main ones are self-report forms and medical histories from childhood and adulthood. These forms will help your clinician determine if there are circumstances that indicate that you shouldn't be taking ADHD medication, if they have been prescribed.

If you are being titrated on medication, it will typically be a combination of non-stimulant and stimulant medications. These will be carefully tested and monitored to find the best combination for you. The titration can be lengthy and may require several extra appointments before your dose is stable.

The frequency of your follow-up appointments will be contingent on the type and quantity of medication you're taking. They can be monthly or quarterly. This will include your physician checking to see if you are taking the correct medication, noting any adverse effects you've experienced, and making any necessary adjustments to ensure that you're on a dose that is safe. You will also be required to attend a regular health check that may include blood pressure, pulse and weight readings as well as an annual check-up.

Some people might be satisfied with their treatment and therefore do not require discussing their titration in more detail. For those who require further discussions regarding the titration process and treatment plan, it is possible that they will be referred back to the same private clinic that made their initial assessment. If this occurs, the titration appointment will be included in their consultation fee, and they will receive their medication via an individual prescription (see Consultation fees above). This can cost more than an NHS prescription as the pharmacy will charge for the medication.