Private ADHD Titration

There is currently a nationwide 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.

Titration

A thorough evaluation of your ADHD symptoms will be carried out by a highly experienced consultant Psychiatrist. This will include a medical history and an assessment using the common ADHD rating scales and questionnaires.

Following your assessment you will be informed that medication may be beneficial in your particular situation. This will take place at your follow-up appointment (which can be scheduled in person by video link, in person or via phone). Your clinician will discuss the different options for medication available. If you decide to start taking medication, we will help you to titrate your dose to maximize the benefits/side effects balance for you.

This process can take a few weeks and requires gradually altering your child’s medication until the appropriate balance is reached. It is not unusual to need to adjust several times before finding the one that is best for your child's ADHD symptoms. It is crucial that parents are involved in the titration and be on the lookout for their child's behavior, so they can let the doctors know if the medication is helping or causing adverse effects.

If you decide to return to NHS treatment you will be issued a private prescription for your medication. You will have to pay the pharmacy. This is not included in the consultation cost. You will need to attend six-monthly appointments to monitor your medications. This includes blood pressure and pulse measurements. Annual reviews are also required.

Follow-up appointments

After the assessment is complete, you can schedule appointment with the psychiatrist. The appointment is usually done by video conference using zoom. However, in certain cases, it may be possible for an audio-only appointment to be conducted (again at an additional cost).

At this point we will discuss any treatment options and agree upon a bespoke individualised ADHD medication titration program. This will include a review and discussion of your medication dose and any side effects that you may be experiencing. The cost of these titration appointments is PS150 for face-to face sessions and PS60 for telephone or online video consultations. Costs for medication are extra and are paid directly to the pharmacy.

The psychiatrist will also inquire with you about your family background and the impact your ADHD symptoms impact your life, as well as any issues with relationships you may be having or other mental health issues you may be experiencing. This is because ADHD is a genetic disorder and it is crucial to look into any family history that might suggest that you are at risk of developing the disorder.

During the assessment, it is vital that you are honest and open with the doctor who will use the information you provide to determine if you are able to meet the diagnostic criteria for ADHD. This is an important step because the wrong diagnosis can lead to inappropriate medication prescription.

If you've decided you'd like to receive treatment for your ADHD, we will then set up a follow-up appointment with one of our psychiatrists who specialise in this area. This can be done within the first few days of your diagnosis if are eager to begin treatment right away or within two weeks if you want to think about the implications of your diagnosis and the alternatives that are available to you.

If you're not sure what is titration in adhd your preference is, we suggest that you talk to your GP before booking your private appointment as certain providers have different rules regarding whether they require a GP referral letter or not. We also advise to confirm that your GP accepts a 'Shared Care Agreement which means that once you are discharged from the clinic, you will be referred back to them for the prescription for the medication.

Medication

For many people who want a private titration adhd diagnosis of ADHD, medication is a crucial part of their journey. Getting prescriptions from an NHS psychiatrist can be a challenge and lengthy. 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). You can choose a service that offers an assessment on your own and titration. This will cut down your waiting time significantly and is more convenient if you're working and have a busy schedule.

After you have been diagnosed, your doctor will evaluate you to determine if you need medication titration. You will be asked to fill in forms that differ by doctor but the main ones are self-report forms and medical histories from childhood to adulthood. These will help your clinician identify any conditions that could mean you shouldn't take ADHD medications if they're prescribed.

If you are titrated on medication, it is likely to be a combination of stimulants and non-stimulant drugs. They will be tested and monitored to find the most suitable combination for you. The titration procedure can be lengthy and may require a number of additional appointments before you are stable.

The frequency of your follow-up appointments will depend on the type and amount of medication you are taking. They could be scheduled monthly or quarterly. This will include your physician making sure that you are stable on the medication, noting any adverse effects you've experienced, and making any necessary adjustments to ensure that you're on a safe dosage. You'll also be required to undergo a regular health check, which could include blood pressure, pulse and weight readings and an annual check-up.

For some people it could be that they are content with their medication and don't require any further discussion on their titration. If you're looking to discuss your titration plan or treatment plan in more detail it is likely that you'll be sent back to the private adhd titration clinic who performed your initial assessment. In this case the titration will be included in the consultation fee. The medication will then be administered via an individual prescription. This may cost more than prescriptions from the NHS because the pharmacy will charge you for the medication.