Private ADHD Titration

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

Our service is able to provide private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessments cost include the cost of one 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 evaluation, you will be advised that medication may be beneficial in your particular situation. This will take place at your follow-up appointment (which could be in person by video link, in person or via phone). Your physician will explain to you the different options available for you to take medication and, if you decide to start on medication we will offer to titrate the dose to maximize the benefits/side effects balance for you.

This process may take a few weeks and it involves gradually altering your child’s medication until the right balance is reached. It's not uncommon to need to adjust several times before finding the one that is best for your child's ADHD symptoms. It is important that parents are involved in the titration process and keep an eye out for their child's behavior so they can inform the doctor if the medication is helping or causing adverse effects.

If you decide to return to NHS treatment, you will receive a private prescription for your medication. You will have to pay the pharmacy. This is not included in the consultation fee. You'll need to keep up with your appointments every six months to monitor your medications. This includes the measurement of pulse and blood pressure. Annual reviews are also required.

Follow-up appointments

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

We will then go over treatment options and choose a bespoke, individualised ADHD medication titration. This will include an assessment of your medication dose and an examination of any negative side effects you may be experiencing. The cost of these titration appointments is PS150 for face-to face sessions and PS60 for online or telephone video consultations. The pharmacy will be charged for any charges for medication.

The psychiatrist will also ask you about your family history and the impact your ADHD symptoms can 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, so it's important to look into your family's history in order to determine if you're at a higher chance of developing this condition.

It is essential to be honest and transparent to the doctor during this assessment, as the information they receive will be used to determine whether your ADHD meets the diagnostic criteria. This is a crucial part of the process, since a failure to do so could result in an inaccurate diagnosis and therefore inappropriate prescribing of medication.

If you decide to be treated for ADHD, we'll arrange an appointment to follow-up with a psychiatrist who specializes in this area. This can be done within the first few days of your diagnosis if you want to start treatment right away, or within two weeks if you prefer to take time to think about the implications of your diagnosis and the alternatives that are available to you.

If you are unsure of what is titration in adhd your preference is, we suggest that you talk with your GP before booking your private examination as some providers have different rules regarding whether they require an GP referral letter or not. Make sure that your GP accepts a Shared Care Agreement, which means you will be referred to them once you leave the clinic for prescriptions for medication.

Medication

Medication is an integral part of the journey for many who are looking for a private ADHD diagnosis. Finding an appointment with an NHS psychiatrist can be difficult and time-consuming. NHS waiting lists are notoriously long and GPs are often reluctant to refer patients on to specialist services.

One method to circumvent this is to ask your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). This means that you can select an organization that offers an assessment and titration for adhd service. This will cut down your waiting time considerably and can be more convenient if you are working and have a hectic schedule.

After you've been recommended by this method, your chosen clinician will assess you and decide whether or not you require to be monitored for a dose of medication. You'll need to complete forms that vary by doctor but the most frequent ones are self-reporting questionnaires and medical histories dating to childhood and adulthood. These forms will assist your doctor to determine if there are any reasons that suggest that you shouldn't be taking ADHD medication, even if they have been prescribed.

If you are titrated on medication, it will typically consist of non-stimulant and stimulant medications. These will be carefully trialled and monitored to determine the most effective combination for you, taking into consideration any existing conditions you have. The titration can be long 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 can be scheduled for monthly or quarterly. This will involve your clinician checking to see if you are on the right medication, recording any side effects you've experienced, and making any adjustments needed to ensure that you remain in a safe dosage. You'll also be required to attend a regular health check which can include blood pressure and pulse readings, as well as weight and weight measurements as well as an annual review.

For some people, it may be that they are happy with their medication and don't require an additional discussion regarding their titration. If you need to discuss your titration plan or treatment plan more thoroughly it is likely that you will be referred back to the private clinic that performed your initial evaluation. In this scenario the titration will be included in the consultation cost. The medication will be given via a private prescription. This could cost more than a prescription from the NHS since the pharmacy will charge you for the medication.