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Private ADHD Titration

There is a national shortage of medications that treat ADHD symptoms. This is due to manufacturing problems and a growing global demand.

Our service provides private ADHD treatment instead of waiting for NHS funding via Right to Choose. Our assessments cost include the cost of one prescription.

Titration

A thorough assessment of your ADHD symptoms will be conducted by a highly experienced consultant Psychiatrist. This includes a thorough medical history, and an assessment using the standard ADHD questionnaires and rating scales.

After your evaluation, you will be informed if medication is considered to be beneficial in your particular situation. This will happen at your follow up appointment (which can be scheduled in person by video link, in person or by phone). Your doctor will go over the different options for medication available. If you decide to start taking medication, we will offer 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 proper balance has been achieved. It's not uncommon to to adjust up to three different medicines before you find the one that is most suitable for your child's ADHD. It's important for parents to be involved in this titration process, and keep an watchful eye on their child's behavior, so that they can let the doctor know if the medicine is helping or causing side effects.

i-want-great-care-logo.pngIf you decide to return to NHS treatment you will be issued an individual prescription for your medication. You will be required to pay at the pharmacy. This is not included in the consultation cost. You must keep up with your appointments every six months to monitor your medications. This includes pulse and blood pressure measurements. Annual reviews are also mandatory.

Follow-up appointments

After the assessment what is titration adhd complete after the assessment is completed, you can make follow-up appointments with the psychiatrist. The appointment usually takes place through a video call using zoom however in some instances it might be possible to do an audio-only consultation (again at an extra cost).

In this session, we'll discuss any treatment options and agree upon a bespoke individualised ADHD medication titration strategy. This will include a review of your medication dosage and a discussion of any possible adverse effects you may be experiencing. The cost for these titration period adhd consultations is PS150 for face-to face sessions and PS60 for online or phone video consultations. Medication costs are additional 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 daily life and any mental health issues that you may be experiencing. ADHD can be a hereditary condition, which is why it's crucial to examine your family history 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 in the sense that they will be using the information you provide to determine if you meet the diagnostic criteria for ADHD. This is an important step, since an incorrect diagnosis could lead to inappropriate medication prescription.

If you've decided that you would like to receive treatment for your ADHD, we will then arrange a follow up appointment with one of our psychiatrists that specialize in this field. If you want to start treatment immediately, you can do this when you are diagnosed. You can also take two weeks to think about the implications of the diagnosis and the options available to you.

Royal_College_of_Psychiatrists_logo.pngWe recommend that if you are unsure of your preferences, you speak to your GP prior to scheduling 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 sent back to them to get the prescription for the medication.

Medication

For many people who seek a private diagnosis of ADHD, medication is a crucial element of their treatment. It isn't easy to obtain an appointment with a psychiatrist on the NHS. NHS waiting lists are notoriously long and GPs may be reluctant to refer patients on to specialist services.

Inquiring 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 select an organization that offers an assessment and titration for adhd service. This can help you to save time and also be more convenient, especially if you have a busy schedule.

Once you've been recommended, your physician will assess you to determine if you need medication adjustment. You will be asked to fill out forms that are different for each provider, but the most common ones are self-report questionnaires as well as medical histories from childhood and adulthood. They will help your physician identify any conditions that could suggest you should not take ADHD medications if they are prescribed.

If you are being titrated the medication will consist of a mixture of stimulants and nonstimulant medicines. These will be carefully tested and monitored to find the right combination for you. The titration process can be lengthy and may need some additional appointments before you're stable on your dosage.

The frequency of your follow-up appointments will depend on the type and quantity of medication that you are taking. They can be scheduled for monthly or quarterly. The appointment will involve your doctor making sure that you are on the right medication, recording any side effects you've experienced and making any adjustments needed to ensure you are on a safe dosage. You will be required to go to an annual review and a regular health check-up that includes pulse, blood pressure and weight measurements.

For some it could be that they are happy with their medication and don't need an additional discussion regarding their titration. If, however, they do need further discussions about their titration and treatment plans, it's possible that they will be passed back to the same private adhd medication titration clinic that conducted their initial assessment. If this occurs, the titration consultation will be part of their consultation fee, and they will be given their medication through an individual prescription (see Consultation fees above). This can cost more than a prescription from the NHS, as the pharmacy will charge for the medication.
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