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Private ADHD Titration

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

Our service can offer private ADHD titration meaning adhd as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees include the cost of a single prescription.

Titration

A highly skilled consultant psychiatrist will conduct a comprehensive assessment of your ADHD. This includes a complete medical history, as well as an assessment using the common ADHD questionnaires and rating scales.

Following your assessment you will be informed if medication is considered to be beneficial in your case. This will be discussed at your follow-up appointment (which could be in person, by video link or over the phone). Your doctor will explain the various options for medication and, if you choose to start on medication we will recommend titrating dosage to ensure the benefits/side effects balance for you.

This process could take several weeks and it involves gradually altering your child's dosage until the right balance has been achieved. It's not uncommon to need to adjust two or three medicines before finding the best one for your child's ADHD symptoms. Parents must take part in this process of titration, and keep an eye on their child's behavior, so that they can inform the doctor whether the medication is working or causing adverse effects.

If you decide to return to NHS care, your medication will be provided with an individual prescription that you'll need to pay for at the pharmacy (this is not included in the consultation fee). You must keep up with your appointments every six months to monitor your medications. This includes pulse and blood pressure measurements. Annual exams are also required.

Follow-up appointments

After the assessment is complete and you are satisfied, you can schedule appointment with the psychiatrist. The appointment usually takes place on zoom video call, although in certain cases it may be possible to have an audio only consultation (again at an additional cost).

We will then go over treatment options and choose an individualised, bespoke ADHD medication titration. This will include a review and discussion of your medication dosage, as well as any side effects you may be experiencing. The cost for these titration sessions is PS150 for face to face sessions and PS60 for telephone or online video consultations. The pharmacy will be charged for any cost of medication.

The doctor will also ask you about your family background and the impact your ADHD symptoms impact your life, including any issues with relationships you may be facing or any other mental health issues you might be experiencing. This is due to the fact that ADHD is a genetic condition and it is essential to examine any family history that may suggest that you are at risk of developing the disorder.

It is important to be honest and open with the clinician during this assessment, as the information they get will be used to determine if your ADHD is in line with the diagnostic criteria. This is an important step, since a wrong diagnosis could lead to inappropriate medication prescription.

If you decide to be treated for ADHD we'll schedule an appointment for a follow-up visit with a psychiatrist that is skilled in this area. This can be scheduled in the wake of your diagnosis if want to start treatment right away, or within two weeks if want to think about the implications of your diagnosis and the alternatives that are available to you.

If you're not sure which one you prefer We suggest you talk with your GP before booking your private examination as some providers have different policies regarding whether they require the submission of a GP referral letter or not. We also suggest to confirm that your GP accepts a "Shared Care Agreement which means that once discharged from the clinic you will be returned to them for the medication prescription.

Medication

For many people who seek a private diagnosis of ADHD medication is a key part of their journey. Finding prescriptions from an NHS psychiatrist can be a challenge and lengthy. NHS waiting lists are notoriously long and GPs can be reluctant to refer patients to specialist services.

Requesting your GP to refer you to Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). You can pick a provider that provides a private assessment service and the titration. This can cut down on wait time considerably and can be more convenient when you are working and have a hectic schedule.

Once you've been diagnosed, your doctor will evaluate you to determine if need medication titration. You'll need to fill out forms that differ by provider but the most frequent ones are self-reporting forms and medical histories dating to your childhood and into adulthood. These will help your clinician identify any conditions that could indicate that you shouldn't be taking 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 thoroughly examined and monitored to determine the most suitable combination for you. The titration procedure can be lengthy and may require multiple appointments before the dose becomes stable.

The frequency of your follow-up appointments is contingent 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 checking to see if you are stable on the medication, logging any side effects you have had and making any necessary adjustments to ensure you are in a safe dosage. You are required to attend an annual review and a regular health check-up that includes pulse, blood pressure and weight measurements.

For some, it may be that they are content with their medication and don't need a further discussion about their titration. If you need to discuss your titration plan or treatment plan more thoroughly it is possible that you will be referred to the private clinic that performed your initial evaluation. If this occurs, the titration consultation will be included in their consultation fee, and they will receive their medication via a private prescription (see Consultation fees above). This can cost more than a prescription from the NHS, as the pharmacy will charge for the medication.