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Private ADHD Titration

There is currently a nationwide shortage of medication to treat ADHD symptoms. This is due to manufacturing problems and increased global demand.

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

Titration

A thorough evaluation of your ADHD symptoms will be conducted by a highly experienced consultant Psychiatrist. This will include an examination of your medical history as well as an assessment using the typical ADHD rating scales and questionnaires.

After your evaluation, you will be informed whether medication may be beneficial in your particular situation. This will happen at your follow up appointment (which can be done in person, via video link or via phone). Your doctor will go over the different options for medication available. If you decide to start medication, we will help you the option of titrating your dose to maximize the benefits/side effects balance for you.

This process can take several weeks, and involves gradually adjusting your child's dosage until the right balance is reached. It is not uncommon to to titrate up to three different medications until you discover the one that is most suitable for your child's ADHD. Parents must participate in this titration process and keep an eye on their child's behaviour so that they can let the doctor know whether the medication is helping or causing adverse effects.

If you decide to return to NHS care and have decided to return to NHS care, your medication will be provided with an individual prescription that you'll have to pay for at the pharmacy (this is not included in your consultation fees). You must 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 mandatory.

Follow-up appointments

After the assessment is completed, you'll be able to schedule follow up appointments with your psychiatrist, if necessary. The appointment usually takes place on zoom video call, although in certain cases it might be possible to schedule an audio-only consultation (again at an extra cost).

At this point we will discuss any treatment options we have and decide on a custom-made ADHD medication titration strategy. This will include a review of your medication dose and a discussion of any possible side effects you might be experiencing. The cost for these titration sessions is PS150 for face to face sessions and PS60 for telephone or online video consultations. Medication costs are additional and are paid directly to the pharmacy.

The psychiatrist will ask you questions regarding your family history, the impact of your ADHD symptoms on your daily life and any relationship problems or mental health issues you may be experiencing. This is because ADHD can be an inheritable condition, and it is essential to look into any family history that may suggest that you are at risk of developing the disorder.

It is important that you are honest and transparent with the clinician during this evaluation, as the information they gather will be used to determine whether your ADHD fits the diagnostic criteria. This is a crucial step, since the wrong diagnosis can result in a prescription for medication that is not appropriate.

If you've decided that you'd like to be treated for your ADHD We will arrange a follow up appointment with one of our psychiatrists that specialize in this area. This can be done at the time of your diagnosis if you are keen to begin treatment right away or within two weeks if you prefer to take 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 with your GP prior to scheduling your private appointment. Some providers have different policies on whether or not they require an GP letter. Make sure that your GP accepts a Shared Care Agreement, which means you will be referred to them once you leave the clinic to get a prescription medication.

Medication

Medication is a key part of the journey for many people who are looking for an official ADHD diagnosis. It isn't easy to obtain an appointment with a psychiatrist on the NHS. NHS waiting lists can be extremely how long does adhd titration take and GPs may be reluctant to refer their patients 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). You can select a provider who offers a private assessment service and the titration. This will help you to save time and also be more convenient, particularly if you have a busy work schedule.

If you are referred through this route the doctor you choose will examine you and decide whether or not you require to be titrated on medication. You'll have to complete forms that differ by provider, but the most common ones are self-reporting questions and medical histories going back to childhood and adulthood. These forms will assist your doctor to determine if there are reasons that suggest you shouldn't take ADHD medication, even if they have been prescribed.

If you are being titrated the medication will be a combination stimulants and nonstimulant medications. They will be carefully tested and monitored to determine the best combination for you, taking into consideration any medical conditions you may have. The titration process may be long and could require some additional appointments before you're stable on your dose.

The frequency of your follow-up appointments will be contingent 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 on the right 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 be required to go to an annual review as well as a regular health check-up that includes pulse, blood pressure, and weight measurements.

Some people may be satisfied with their medication and don't require discussing their titration in more detail. However, for those who do need further discussions about the titration process and treatment plan, it's possible that they will be passed back to the same private clinic that made their initial assessment. If this happens, the titration appointment will be included in their consultation fee and they will receive their medication on private prescription (see Consultation fees above). This can cost more than an NHS prescription as the pharmacy will charge for the medication.