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Private ADHD Titration

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

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

Titration

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

After your examination, you will be informed that medication may be beneficial in your particular situation. The discussion will take place at your follow-up appointment (which may be scheduled in person, via video link, or over the phone). Your clinician will discuss the various options for medications available. If you decide to start taking medication, we will offer you the opportunity to increase your dosage to ensure the best balance of benefits and side effects for you.

This is a process which can take several weeks and involves adjusting your child's medication gradually until the proper balance is reached. It is not uncommon to to titrate up to three different medications before you can find the one that best suits your child's ADHD. It is essential that parents take part in the titration process and be on the lookout for their child's behavior, so they can let the doctors know if the medication is helping or causing adverse reactions.

If you do not decide to return to NHS treatment and have decided to return to NHS care, your medication will be given as an individual prescription that you'll have to pay for at the pharmacy (this is not included in your consultation fee). You must attend six-monthly appointments to monitor your medications. This includes the measurement of pulse and blood pressure. Annual reviews are also required.

Follow-up appointments

After the assessment is completed you will be able to book appointment with the psychiatrist, as appropriate. Usually the appointment will take place on zoom video call but in certain circumstances it may be possible to do an audio only consultation (again at an extra cost).

We will then go over the options for treatment and then decide on an individualised, bespoke adhd medication titration medication adjustment. This will include a review and discussion of your medication dose, as well as any side effects that you may be experiencing. The cost for these titration adhd consultations is PS150 for face-to-face sessions and PS60 for online or phone video consultations. The pharmacy will be charged for any charges for medication.

The psychiatrist will ask questions about your family history and the effects of your ADHD symptoms on your life, and any relationship problems or mental health issues you might be experiencing. ADHD can be a genetic condition, and it's vital to look into your family's background to determine if you are at a higher risk of developing this disorder.

It is important that you are honest and truthful with the clinician during this assessment, as the information they receive will be used to determine if your ADHD meets the diagnostic criteria. This is a vital part of the process, since a failure to do so could result in an incorrect diagnosis, and thus an incorrect prescribing of medication.

If you've decided you would like to be treated for your ADHD, we will then schedule a follow-up appointment with one of our psychiatrists who specialise in this area. This can be scheduled in the wake of your diagnosis if you are keen to begin treatment right away or within two weeks if prefer to take time to consider the implications of your diagnosis and the possibilities that are available to you.

If you are unsure of what you would prefer, we suggest that you speak with your GP before booking your private examination as some providers have different policies regarding whether they require an GP referral letter or not. We also recommend to confirm that your GP accepts a "Shared-Care Agreement which means that once you are discharged from the clinic, you will be returned to them for the prescription for the medication.

Medication

Medication is an integral element of the process for many people who are seeking a private adhd titration diagnosis. Finding an appointment with an NHS psychiatrist can be a challenge and time-consuming. NHS waiting lists can be extremely long, 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 to Right to Choose (see psychiatry-uk and ADHD 360). This means you can select a provider that offers a private assessment and titration service. This can reduce your wait time considerably and can be more convenient if you are working and have a full schedule.

If you are recommended, your physician will assess you to determine if you need medication adjustment. You will need to complete forms that are different for each provider but the most frequent ones are self-reporting questions and medical histories dating to your childhood and into adulthood. These forms will allow your doctor to determine if there are any factors that could mean that you shouldn't be taking ADHD medication, if they have been prescribed.

If you are being titrated, the medication will consist of stimulants and nonstimulant medications. They will be assessed and monitored to determine the most suitable combination for you. The titration adhd adults process can be lengthy and may require a number of additional appointments before the dose becomes stable.

Depending on the kind of medication you're taking, follow-up appointments can be scheduled either monthly or quarterly. The appointment will involve your doctor making sure that you are stable on the medication, noting any adverse effects you've experienced and making any adjustments needed to ensure that you remain in a safe dosage. You will also be required to attend a routine health check, which could include blood pressure, pulse and weight readings as well as an annual check-up.

For some it could be that they are satisfied with their medication and don't require any further discussion on their titration. If you're looking to discuss your titration or treatment plan more thoroughly it is likely that you'll be sent back to the private clinic who made your initial assessment. If this happens, the titration appointment will be included in the consultation fees and they will be given their medication on an individual prescription (see Consultation fees above). This could cost more than prescriptions from the NHS, as the pharmacy will charge for the medication.