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Private ADHD Titration

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

Our service is private ADHD titration instead of waiting for NHS funding via Right to Choose. Our assessment fees cover the cost of one prescription.

Titration

A highly skilled consultant psychiatrist will conduct a thorough evaluation of your ADHD. This includes an examination of your medical history as well as an assessment using the typical ADHD rating scales and questionnaires.

After your assessment, you will be informed if medication would be beneficial for your particular situation. This will be discussed during your follow-up appointment (which can be done in person, via video link or by phone). Your clinician will explain what is titration in adhd medication options are available and, if you choose to begin taking medication, we will offer to titrate the dose to optimise the benefits/side effects balance for you.

This process could take several weeks, and requires gradually altering your child’s medication until the appropriate balance is achieved. 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 important that parents take part in the titration and keep an eye out for their child's behavior so that they can inform the doctor if the medication is helping or causing adverse effects.

If you decide to return to NHS treatment the medication you take will be given as an individual prescription that you will need to pay for at the pharmacy (this is not included in your consultation fees). You will be required to attend every six months to check your medication - this includes blood pressure and pulse readings. Annual reviews are also mandatory.

Follow-up appointments

Once the assessment has been completed, you will be able to book follow-up appointments with the psychiatrist as appropriate. The appointment is typically conducted via zoom video call. In some instances, it could be possible to have an audio-only consultation to be scheduled (again at an additional cost).

At this point we will discuss any treatment options and agree upon a bespoke individualised ADHD medication titration plan. This will include a review and discussion of your medication dosage and any adverse effects you may be experiencing. These titrations cost PS150 for face-to-face sessions and PS60 via telephone or video consultation. Medication costs are additional and are paid directly to the pharmacy.

The psychiatrist will also ask you about your family history and the impact that your ADHD symptoms impact your life, including any issues with your relationships that you may be experiencing or other mental health problems that you may be suffering from. ADHD can be a genetic condition, which is why it's crucial to look into your family's background to determine if you're at a greater chance of developing this condition.

During the assessment, it is essential that you are truthful and open with the doctor who will use the information you provide to determine whether you meet the diagnostic criteria for ADHD. This is a crucial step because a wrong diagnosis could result in an inappropriate prescription of medication.

If you've decided that you'd like to be treated for your ADHD, we will then set up a follow-up appointment with one of our psychiatrists who specialize in this field. This can be done at the time of your diagnosis if you are keen to begin treatment immediately or within two weeks if you would like more time to think about the implications of your diagnosis and the alternatives available to you.

We suggest that if are unsure of your preferences, you speak with your GP prior to scheduling your private titration adhd appointment. Certain providers have different policies on whether or not they require a GP letter. We also recommend to check if your GP accepts a "Shared-Care Agreement that means that once you are discharged from the clinic you will be referred back to them for the prescription for the medication.

Medication

Medication is a key part of the journey for many people looking for a private titration adhd ADHD diagnosis. Finding an appointment with an NHS psychiatrist can be a challenge 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 request your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). This means that you can select one that provides a private assessment and titration service. This can help you reduce time and be more convenient, particularly in the event of a hectic schedule.

After you've been identified as a candidate for this treatment the doctor you choose will evaluate you and determine whether or not you're required to be titrated on medication. You'll have to complete forms that are different for each provider however the most commonly used ones are self-reporting questions and medical histories that go to childhood and adulthood. These forms will help your clinician determine if there are circumstances that indicate that you shouldn't be taking ADHD medication, even if they have been prescribed.

If you are being titrated, the medication will consist of a mixture of stimulants and nonstimulant medications. They will be assessed and monitored to determine the most suitable combination for you. The titration procedure can be lengthy and may require several extra appointments before your dose is stable.

Depending on the kind of medication you're taking, follow up appointments will be either monthly or quarterly. Your doctor will ensure whether you are stable on the medication, record any side effects you have experienced and make any needed adjustments to ensure that you remain on a dose that is safe. You will be required to attend 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 treatment and therefore do not require discussing their titration process further. However, for those who require further discussions regarding their titration and treatment plans, it is possible that they will be referred back to the same private clinic that performed their initial assessment. In this scenario the titration is included in the consultation fee. The medication will then be provided through an individual prescription. This can cost more than a prescription from the NHS because the pharmacy will charge you for the medication.