Private ADHD Titration

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

Our service provides private ADHD treatment instead of waiting for NHS funding via Right to Choose. Our assessments are free and include the cost of one prescription.

Titration

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

After your assessment You will be advised that medication may be beneficial for your situation. This will take place during your follow-up appointment (which can be done in person, via video link or via phone). Your clinician will discuss the different options for medication available. If you decide to start taking medication, we can help you the option of titrating your dose to ensure the best balance of benefits and side effects for you.

This process can take several weeks and involves adjusting the dosage of your child's medication slowly until the right balance is reached. It what is adhd titration not uncommon to to titrate as high as three different medications before you can find the one that best fits your child's ADHD. It is crucial that parents are involved in the titration and be aware of their child's behavior, so they can inform the doctor whether the medication is helping or causing adverse reactions.

If you decide to go back to NHS treatment you will receive an individual prescription for your medication. You will be required to pay for your prescription at the pharmacy. This is not included in the consultation fee. You will need to attend six-monthly appointments to check your medication. This includes pulse and blood pressure measurements. Annual checks are also required.

Follow-up appointments

Once the evaluation has been completed, you'll be able to book follow-up appointments with the psychiatrist, as appropriate. Usually the appointment will take place via a zoom video call but in certain circumstances it is possible to do an audio-only consultation (again at an additional cost).

In this session, we'll discuss treatment options and agree upon a bespoke individualised ADHD medication titration plan. This will include an assessment of your medication dose and a discussion of any possible negative side effects you may be experiencing. These titrations cost PS150 for face-toface sessions and PS60 by video or phone consultation. The pharmacy will charge you for any charges for medication.

The psychiatrist will also inquire with you about your family background and the impact your ADHD symptoms can have on your life, including any issues with relationships you may be having or other mental health problems that you might be experiencing. ADHD is a genetic condition, so it's important to examine your family background to determine if you're at a greater chance of developing this disorder.

During this assessment it is essential that you are truthful and honest with the clinician in the sense that they will use the information you provide to determine whether you meet the diagnostic criteria for ADHD. This is a vital step in the process, since a failure to do so could result in an inaccurate diagnosis and consequently an inappropriate prescription of medication.

If you have decided that you'd like to receive treatment for your ADHD We will set up a follow-up appointment with one of our psychiatrists that specialize in this area. This can be done within the first few days of your diagnosis if are keen to begin treatment immediately, or within two weeks if you prefer to take time to think about the implications of your diagnosis and the options available to you.

We suggest that if are unsure of your preferences, you speak to your GP prior to booking your private adhd titration assessment. Some providers have different policies regarding whether they require an GP letter. We also recommend to check if your GP accepts a "Shared Care Agreement that means that after you have been discharged from the clinic, you will be returned to them for the medication prescription.

Medication

Medication is a key part of the journey for many people who are seeking an official ADHD diagnosis. The process of getting prescriptions from an NHS psychiatrist can be a challenge and long-winded. NHS waiting lists can be extremely long, and GPs may be reluctant to refer patients to specialist services.

One method to avoid this is to request your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). This means that you can choose one that provides an assessment and titration. This will cut down your waiting time considerably and can be more convenient if you are working and have a busy schedule.

If you are diagnosed, your doctor will assess your condition to determine if you need medication adjustment. You will be asked to fill in forms that are different for each provider, but the most important ones are self-report forms and medical histories from childhood and adulthood. These forms will assist your doctor determine any issues that could mean you shouldn't take ADHD medication if prescribed.

If you are titrated on medication, this will usually be a combination of non-stimulant and stimulant medications. These will be thoroughly examined and monitored to determine the right combination for you. The titration process may be long and could require several additional appointments before you're able to stay on your dosage.

Depending on the type of medication you are taking, follow-up appointments will be either monthly or quarterly. Your physician will make sure that you are stable with the medication, record any adverse reactions you've experienced and make any necessary adjustments to ensure you remain on a safe dosage. You'll also have to attend a regular health check that may include blood pressure, pulse and weight readings as well as an annual check-up.

Some people might be satisfied with their treatment and therefore do not need to discuss their titration in more detail. If, however, they require further discussions regarding their titration for adhd and treatment plans, it is possible that they will be passed back to the same private clinic that conducted their initial assessment. If this occurs, the titration consultation will be included in the consultation fees and they will be given their medication via an individual prescription (see Consultation fees above). This could cost more than an NHS prescription since the pharmacy will charge for the medication.