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Private ADHD Titration

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

Our service offers private ADHD adjustment instead of waiting for NHS funding via Right to Choose. Our assessments cost include the cost of one prescription.

Titration

A comprehensive assessment of your ADHD symptoms will be carried out by a highly experienced consultant psychiatrist. This will include an examination of your medical history as well as an assessment using the common ADHD rating scales and questionnaires.

After your assessment You will be advised if medication would be beneficial for your situation. This will take place at your follow up appointment (which can be scheduled in person, via video link or via phone). Your physician will explain to you the different options available for you to take medication and, if you choose to start on medication we will recommend titrating the dose to optimise the benefits/side effects balance for you.

This process can take a few weeks and involves gradually adjusting your child's dosage until the right balance has been achieved. It's not uncommon to need to adjust several times before determining the most effective one for your child's ADHD symptoms. It is important that parents are involved in the titration and be aware of their child's behavior so they can inform doctors whether the medication is working or causing adverse effects.

If you decide to go back to NHS treatment, you will receive an individual prescription for your medication. You will have to pay the pharmacy. This is not included in the consultation cost. You'll be required to attend six monthly appointments to monitor your medication - this includes blood pressure and pulse readings. Annual reviews are also required.

Follow-up appointments

After the evaluation is completed and you are satisfied, you can schedule follow-up appointments with your psychiatrist. Typically, the appointment will take place through a video call using zoom but in certain circumstances it might be possible to have an audio-only consultation (again at an extra cost).

In this session, we'll discuss any treatment options we have and come up with a unique ADHD medication titration adhd medication strategy. This will include a discussion and review of your medication dose, as well as any adverse effects you might be experiencing. These titration period adhd sessions cost PS150 for face-to-face sessions and PS60 via telephone or video consultation. The cost of medication is additional and are paid directly to the pharmacy.

The psychiatrist will ask you questions regarding your family history, the effects of your ADHD symptoms on your life, and any relationship problems or mental health issues you may be experiencing. ADHD can be a hereditary condition, so it's important to look into your family's history in order to determine if you are at a higher chance of developing this condition.

It is important to be honest and truthful with your doctor during this assessment, as the information they gather will be used to determine whether your ADHD meets the diagnostic criteria. This is a crucial step, since an incorrect diagnosis could result in a prescription for medication that is not appropriate.

If you have decided that you would like to be treated for your ADHD We will set up a follow-up appointment with one of our psychiatrists that specialize in this field. If you want to start treatment right away it is possible to start treatment immediately following the diagnosis. You can also wait for two weeks before considering the implications of the diagnosis and the options available to you.

We recommend that if you are unsure of your preferences, you talk with your GP prior to scheduling your private examination. Certain providers have different policies on whether they require the submission of a GP letter. We also suggest to confirm that your GP accepts a 'Shared Care Agreement that means that once you are discharged from the clinic, you will be returned to them for the medication prescription.

Medication

Medication is an integral part of the journey for many people who are seeking an official ADHD diagnosis. Finding a prescription from an NHS psychiatrist can be difficult and long-winded. NHS waiting lists are notoriously long, and GPs may be reluctant to refer patients to specialist services.

Inquiring your GP to refer you to Right to Choose is one way to avoid this (see psychiatry - UK and ADHD 360). You can choose a service that provides a private assessment service and titration. This can help you reduce time and be more convenient, particularly when you are on a tight schedule.

Once you have been referred through this route, your chosen clinician will assess you and decide whether or not you're required to be titrated on medication. You'll have to complete forms that are different for each provider, but the most common ones are self-reporting questions and medical histories dating back to childhood and adulthood. These will help your clinician identify any conditions that could indicate that you shouldn't be taking ADHD medications if they're prescribed.

If you are being titrated on medication, this will usually include a mix of stimulants and non-stimulant drugs. These will be carefully tested and monitored to find the right combination for you. The titration process can be lengthy and may require several extra appointments before you are stable.

Based on the type of medication you are taking, follow up appointments will be either monthly or quarterly. This will include your physician checking that you are stable on the medication, noting any adverse effects you've experienced and making any necessary adjustments to ensure you are on a safe dosage. You will also be required to attend a regular health check which can include blood pressure, pulse and weight readings as well as an annual check-up.

Some people might be satisfied with their medication and therefore do not need to discuss their titration further. If you need to discuss your titration or treatment plan further it is possible that you will be referred to the private clinic that performed your initial evaluation. If this occurs, the titration period adhd appointment will be included in their consultation fees and they will be given their medication on a private prescription (see Consultation fees above). This could cost more than a prescription from the NHS because the pharmacy will charge for the medication.