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Private ADHD Titration

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

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

Titration

A thorough assessment of your ADHD symptoms will be carried out by an experienced consultant Psychiatrist. This includes a complete medical history and an assessment using the typical adhd titration uk questionnaires and rating scales.

After your assessment, you will be informed whether medication is appropriate for your specific situation. This will take place at your follow-up appointment (which can be done in person by video link, in person or via phone). Your clinician will explain the various options for medication and if you decide to start on medication we will recommend titrating the dose to maximize the benefits/side effects balance for you.

This process could take a few weeks and it involves gradually altering your child's medication until the appropriate balance is achieved. It's not uncommon to have to titrate several times before finding the one that is best for your child's ADHD symptoms. It is essential for parents to take part in this process of titration, and keep an watchful eye on their child's behavior so that they can let the doctor know if the medicine is helping or causing side effects.

If you do not decide to return to NHS treatment the medication you take will be provided with a private prescription which you'll need to pay for at the pharmacy (this is not included in the consultation fee). You must attend six monthly appointments to monitor your medication. This includes blood pressure and pulse readings. Annual exams are also required.

Follow-up appointments

After the evaluation is completed after the assessment is completed, you can make appointment with the psychiatrist. The appointment usually takes place on zoom video call however in some instances it may be possible to have an audio only consultation (again at an additional cost).

In this session, we'll discuss any treatment options we have and agree upon a bespoke individualised ADHD medication titration program. This will include a discussion and review of your medication dosage, as well as any side effects that you may be experiencing. The cost of these titration sessions is PS150 for face to face sessions and PS60 for online or phone video consultations. The pharmacy will charge you for any cost of medication.

The psychiatrist will also inquire with you about your family history and the impact that your ADHD symptoms can have on your life, as well as any issues with relationships you may be experiencing or other mental health problems that you might be experiencing. This is because ADHD can be a genetic disorder and it is crucial to examine any family history that might indicate whether you are at risk of developing the disorder.

During this assessment it is essential that you are truthful and honest with your doctor, as they will use the information you provide to determine whether you are able to meet the diagnostic criteria for ADHD. This is an important step, as an incorrect diagnosis could result in a prescription for medication that is not appropriate.

If you decide to be treated for ADHD, we'll arrange an appointment to follow-up with a psychiatrist that is skilled in this area. This can be scheduled within the first few days of your diagnosis if you want to start treatment immediately, or within two weeks if you want to consider the implications of your diagnosis and the alternatives that are available to you.

If you aren't sure what your preference is, we suggest that you talk with your GP prior to scheduling your private examination as some providers have different policies regarding whether they require the submission of a GP referral letter or not. We also advise to check if 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 a key part of the journey for many people looking for a private ADHD diagnosis. Getting an appointment with an NHS psychiatrist can be difficult and time-consuming. NHS waiting lists can be notoriously long and GPs may be reluctant to refer patients to specialist services.

Asking your GP to refer you to Right to Choose is one way to avoid this (see psychiatry - UK and ADHD 360). You can select a provider that provides a private assessment service and titration process adhd. This can reduce your wait time by a significant amount and is more convenient if you're working and have a busy schedule.

Once you've been recommended, your physician will examine you to determine if you need medication titration. You will need to complete forms that differ by provider however the most commonly used ones are self-reporting questions and medical histories dating to childhood and adulthood. These will help your clinician determine any issues that could suggest you should not take ADHD medications if they are prescribed.

If you are titrated, the medication will be a combination stimulants and nonstimulant medications. These will be carefully assessed and monitored to determine the right combination for you. The titration process may be lengthy and may need a few extra appointments before you're able to stay on your dosage.

Depending on the type of medication you're taking, follow up appointments could be scheduled monthly or quarterly. Your clinician will check whether you are safe with the medication, document any side effects you have experienced and make any necessary adjustments to ensure that you remain on a safe dosage. You will be required to go to an annual review as well as a routine health exam that includes blood pressure, pulse, and weight measurements.

For some people it could be that they are satisfied with their medication and don't require any further discussion on their titration. If, however, they require further discussions regarding their titration and treatment plans, it's possible to be passed back to the private clinic that made their initial assessment. If this happens, the titration appointment will be included in their consultation fees and they will be given their medication on an individual prescription (see Consultation fees above). It could cost more than an NHS prescription because the pharmacy will charge for the medication.