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Private ADHD Titration

There is currently a nationwide shortage of medications that treat ADHD symptoms. This is due to manufacturing problems 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 assessments cost include the cost of one prescription.

Titration

A highly experienced psychiatrist consultant will conduct a thorough assessment of your ADHD. This includes a complete medical history, and an evaluation using the common ADHD questionnaires and rating scales.

After your evaluation, you will be informed whether medication may be beneficial in your case. This will happen at your follow-up appointment (which can be done in person via video link or by telephone). Your physician will go over the different options for medication available. If you decide to begin medication, we will offer you the opportunity to increase your dosage to optimize the benefits/side-effects balance for you.

This process may take a few weeks and requires gradually altering your child's dosage until the proper balance has been achieved. It is not unusual to have to titrate two or three medicines before finding the one that is best for your child's ADHD symptoms. It is essential that parents take part in the titration and be aware of their child's behavior so they can inform the doctor if the medication is helping or causing adverse effects.

If you do not decide to return to NHS care, your medication will be given as a private prescription which you will need to pay for at the pharmacy (this is not included in the consultation fee). You will be required to attend regular appointments every six months to monitor your medication. This includes pulse and blood pressure readings. Annual reviews are also required.

Follow-up appointments

Once the assessment has been completed, you'll be able to book follow-up appointments with the psychiatrist, as necessary. The appointment is typically conducted through a zoom video call. However, in some instances, it could be possible for an audio-only appointment to be scheduled (again with an additional cost).

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

The psychiatrist will also ask you about your family background and the impact your ADHD symptoms can have on your life, as well as any issues with relationships you may be facing or any other mental health problems that you may be experiencing. This is due to the fact that ADHD is a genetic condition and it is important that we assess any family history that might indicate that you're at risk of developing the disorder.

During this examination, it is essential to be truthful and open with the doctor who will use the information you provide to determine whether you have the diagnostic criteria for ADHD. This is an essential part of the process, since a failure to do so could result in an incorrect diagnosis and therefore inappropriate prescribing of medication.

If you decide to receive treatment for ADHD, we'll arrange a follow-up appointment with a psychiatrist who specializes in this field. This can be done at the time of your diagnosis if are keen to begin treatment immediately or within two weeks if want to think about the implications of your diagnosis and the possibilities that are available to you.

If you aren't sure what your preference is it is recommended that you speak with your GP prior to scheduling your private examination as some providers have different policies about whether they require a GP referral letter or not. Find out if your GP accepts the Shared Care Agreement, which means that you will be referred to them when you leave the clinic to get a prescription medication.

Medication

For many people who want an individual diagnosis of ADHD treatment is a crucial part of their journey. Finding a prescription from an NHS psychiatrist can be a challenge and long-winded. NHS waiting lists can be notoriously long and GPs might be reluctant to refer their patients to specialist services.

Requesting your GP to refer through Right to Choose is one way to avoid this (see psychiatry - UK and ADHD 360). This means you can select an organization that offers an assessment and titration adhd meds. This can cut down on wait time by a significant amount 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 require medication titration. You will be asked to fill in forms that are different for each provider, but the main ones are self-report questionnaires as well as medical histories from childhood and adulthood. They will help your physician identify any conditions that could indicate that you shouldn't be taking ADHD medications if they're prescribed.

If you are being titrated the medication will be a combination stimulants and non-stimulant drugs. These will be carefully tested and monitored to find the most suitable combination for you. The titration process may be lengthy and may require a few extra appointments before you're able to stay on your dose.

Based on the type of medication you are taking, follow up appointments will be either monthly or quarterly. This will involve your clinician making sure that you are stable on the medication, noting any adverse effects you have had and making any necessary adjustments to ensure you are on a dose that is safe. You will be required to go to an annual health check-up and regular health check-up that includes pulse, blood pressure, and weight measurements.

Some people might be satisfied with their medication and do not need to discuss their titration in more detail. If you need to discuss your titration or treatment plan more thoroughly, it is possible that you'll be sent back to the private doctor that performed your initial evaluation. If this occurs, the titration appointment will be included in the consultation fee, and they will receive their medication on private prescription (see Consultation fees above). This can cost more than a prescription from the NHS because the pharmacy will charge you for the medication.