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Private ADHD Titration

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

Our service is able to offer private ADHD titration as an alternative to waiting for NHS funding through Right to Choose. Our assessments are free and 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, as well as an evaluation using the typical ADHD questionnaires and rating scales.

After your assessment After your assessment, you will be informed that medication may be beneficial for your specific situation. This will be discussed at your follow-up appointment (which can take place in person, via video link or by phone). Your physician will explain to you the various options for medication and, if you decide to start on medication we will suggest titrating the dose to maximize the balance of benefits and side effects for you.

This process could take a few weeks, and requires adjusting your child's dosage slowly until the right balance is achieved. It is not uncommon to have to titrate as high as three different medications before you find the one that is most suitable for your child's ADHD. It is essential that parents participate in the titration process and keep an eye out for their child's behavior so that they can inform doctors if the medication is helping or causing adverse reactions.

Unless you have decided to return to NHS treatment the medication you take will be issued with an individual prescription that you'll have to pay for at the pharmacy (this is not included in your consultation fee). You will need to attend six-monthly appointments to monitor your medication. This includes blood pressure and pulse measurements. Annual reviews are also mandatory.

Follow-up appointments

After the assessment is complete, you can schedule follow-up appointments with the psychiatrist. The appointment is typically conducted via zoom video call. However, in certain instances, it could be possible to have an audio-only consultation to be scheduled (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 of your medication dose and an examination of any adverse effects you may be experiencing. These titration sessions cost PS150 for face-to-face sessions, and PS60 via video or telephone consultation. The cost of medication is additional and are paid directly to the pharmacy.

The psychiatrist will ask you questions about your family history as well as the effects of your ADHD symptoms on your life, and any relationship problems or mental health issues 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 condition.

It is important to be honest and truthful with the clinician during the assessment, since the information they receive will be used to determine if your ADHD meets the diagnostic criteria. This is an important step, as the wrong diagnosis can result in a prescription for medication that is not appropriate.

If you decide to receive treatment for ADHD we'll schedule an appointment for a follow-up visit with a psychiatrist who specializes in this field. If you'd like to start treatment immediately it is possible to start treatment immediately following the diagnosis. You can also take two weeks to consider the implications of the diagnosis and your options.

We suggest that if are unsure of your preferences, talk to your GP prior to booking your private examination. Certain providers have different guidelines regarding whether or not they require the submission of a GP letter. Make sure that your GP accepts the Shared Care Agreement, which means that you will be referred to them after you leave the clinic for prescriptions for medication.

Medication

For many who wish to obtain an individual diagnosis of adhd titration private treatment is a key part of their journey. Getting an appointment with an NHS psychiatrist can be a hassle and long-winded. NHS waiting lists are notoriously long and GPs are often 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). This means that you can select an organization that offers a private assessment and titration service. This can reduce your wait time by a significant amount and is more convenient if you are working and have a hectic schedule.

Once you've been referred, your clinician will assess you to determine if need medication titration. You will need to complete forms that differ by provider but the most frequent ones are self-reporting questions and medical histories that go to your childhood and into adulthood. These forms will assist your doctor to determine if there are reasons that suggest you shouldn't be taking ADHD medications, if they have been prescribed.

If you are being titrated, the medication will be a combination stimulants and non-stimulant drugs. These will be carefully trialled and monitored to find the most suitable combination for you, taking into consideration any current conditions you suffer from. The titration process can be a lengthy process and may require multiple appointments before your dose is stable.

The frequency of your follow-up appointments will depend on the type and amount of medication that you are taking. They can be monthly or quarterly. The appointment will involve your doctor making sure that you are on the right medication, logging any side effects you've experienced and making any adjustments needed to ensure that you remain on a safe dosage. You will be required to go to an annual review and a regular health check-up that includes pulse, blood pressure, and weight measurements.

For some it could be that they are satisfied with their medication and don't require an additional discussion regarding their titration. If you're required to discuss your titration plan or treatment plan more thoroughly, it is possible that you'll be sent back to the private doctor who made your initial assessment. In this instance, the titration will be included in the consultation cost. The medication will be administered via a private prescription. This can cost more than prescriptions from the NHS, as the pharmacy will charge you for the medication.