Private ADHD titration for adhd

There is currently a nationwide shortage of medications that treat ADHD symptoms. This is due both to manufacturing issues and an increased demand in the world.

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

Titration

A highly skilled consultant psychiatrist will conduct a thorough assessment of your ADHD. This will include medical history and an assessment using the standard ADHD rating scales and questionnaires.

Following your assessment you will be advised if medication is considered to be beneficial in your case. This will take place at your follow up appointment (which could be in person by video link, in person or via phone). Your doctor will go over the different options for medication available. If you decide to start medication, we can help you the opportunity to increase your dosage to maximize the benefits/side effects balance for you.

This process could take a few weeks and it involves gradually altering your child’s medication until the appropriate balance is achieved. It's not uncommon to to titrate up to three different medicines before you can find the one that best fits your child's ADHD. It's important for parents to be involved in this titration process, and keep an eye on their child's behaviour to let the doctor know whether the medication is working or causing side effects.

If you decide to return to NHS treatment you will receive a private prescription for your medication. You will have to pay at the pharmacy. This is not included in the consultation cost. 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 mandatory.

Follow-up appointments

After the evaluation is completed after the assessment is completed, you can make follow-up appointments with your psychiatrist. Usually the appointment will take place through a video call using zoom however in some instances it is possible to do an audio-only consultation (again at an additional cost).

At this point we will discuss any treatment options we have and agree upon a bespoke individualised ADHD medication titration strategy. This will include a discussion and review of your dosage of medication, as well as any side effects you may be experiencing. The titration sessions cost PS150 for face-to-face sessions and PS60 via video or telephone consultation. Costs for medication are extra and are paid directly to the pharmacy.

The psychiatrist will ask questions regarding your family history as well as the impact of your ADHD symptoms on your life and any mental health issues that you might be suffering from. ADHD can be a hereditary condition, which is why it's crucial to assess your family history in order to determine if you're at a higher chance of developing this condition.

It is essential that you are honest and truthful with your doctor during this evaluation, as the information they gather will be used to determine whether your ADHD meets the diagnostic criteria. This is a vital 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 decide to seek treatment for ADHD, we'll arrange a follow-up appointment with a psychiatrist who is specialized 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 think about the implications of your diagnosis and the alternatives available to you.

We suggest that if you are unsure of your preferences, you speak to your GP prior to booking your private appointment. Certain providers have different policies on whether they require a GP letter. We also recommend that you check whether 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 people looking for a private ADHD diagnosis. The process of getting an appointment with an NHS psychiatrist can be a challenge and long-winded. NHS waiting lists are notoriously long and GPs are often reluctant to refer patients on to specialist services.

One method to avoid this is to ask your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). This means you can select a provider that offers a private assessment and titration. This will help you reduce time and be more convenient, especially if you have a busy schedule.

Once you've been referred, your clinician will examine you to determine if you need medication titration. You will be asked to fill in forms that vary by provider but the most common ones are self-report questionnaires as well as medical histories from childhood and adulthood. These will help your clinician determine any issues that could indicate that you shouldn't be taking ADHD medications if they're prescribed.

If you are on a titration medication, it is likely to include a mix of stimulants and non-stimulant drugs. They will be assessed and monitored to determine the best combination for you. The titration process can be lengthy and may need some additional appointments before you are stable on your dosage.

Depending on the type of medication you are taking, follow-up appointments could be scheduled monthly or quarterly. This will involve your clinician making sure that you are taking the correct medication, recording any side effects you have had and making any adjustments needed to ensure you are on a dose that is safe. You'll also have to attend a routine health check which can include blood pressure readings, pulse and weight and an annual review.

For some individuals it could be that they are content with their medication and don't need a further discussion about their titration adhd adults. For those who require further discussion about their titration and treatment plans, it's possible that they will be referred back to the same private clinic that made their initial assessment. If this occurs, the titration consultation will be included in the consultation fee, and they will be given their medication through a private prescription (see Consultation fees above). It could cost more than an NHS prescription because the pharmacy will charge for the medication.