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Private ADHD Titration

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

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

titration process adhd

A highly experienced consultant psychiatrist will conduct a thorough assessment of your ADHD. This includes a complete medical history and an assessment using the common adhd titration meaning questionnaires and rating scales.

Following your assessment you will be informed that medication may be beneficial in your case. This will be discussed during your follow-up appointment (which could be in person, via video link, or over the phone). Your clinician will discuss the different options for medication available. If you decide to start taking medication, we will help you the opportunity to increase your dosage to optimize the benefits/side-effects balance for you.

This is a process which can take several weeks. It requires adjusting your child's dosage gradually until the proper balance is achieved. It is not uncommon to have to adjust up to three different medicines until you discover the one that is most suitable for your child's ADHD. Parents must be involved in this titration process and keep an watchful eye on their child's behavior to inform the doctor if the medicine is helping or causing side effects.

Unless you have decided to return to NHS treatment and have decided to return to NHS care, your medication will be given as a private prescription which you will need to pay for at the pharmacy (this is not included in the consultation fee). You will be required to attend regular appointments every six months to monitor your medication, which includes pulse and blood pressure 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 is usually done by video conference using zoom. In some cases, it may be possible for an audio-only consultation to be scheduled (again at an additional cost).

At this point we will discuss any treatment options and agree upon a bespoke individualised ADHD medication titration plan. This will include an assessment of your medication dosage and an examination of any side effects you might be experiencing. The titration sessions cost PS150 for face-toface sessions and PS60 via telephone or video consultation. The pharmacy will be charged for any cost of medication.

The doctor will also ask you about your family history and the impact that your ADHD symptoms have on your life, including any issues with relationships you may be having or other mental health problems that you may be experiencing. This is due to the fact that ADHD can be an inheritable condition, and it is important to look into any family history that might indicate that you're at risk of developing the disorder.

It is crucial to be honest and truthful to the doctor during this evaluation, as the information they receive will be used to determine if your ADHD fits the diagnostic criteria. This is a crucial step in the process because if you don't do it, it could result in an incorrect diagnosis and consequently an inappropriate prescription of medication.

If you have decided that you would like to be treated for your ADHD We will schedule a follow-up appointment with one of our psychiatrists who specialize in this area. This can be done in the wake of your diagnosis if are eager to begin treatment right away or within two weeks if prefer to take time to consider the implications of your diagnosis and the alternatives that are available to you.

If you're not sure what you would prefer it is recommended that you talk to your GP prior to scheduling your private assessment as some providers have different rules regarding whether they require an 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 medication.

Medication

For many people who seek a private diagnosis of ADHD treatment is an important part of their journey. It isn't always easy to obtain prescriptions from psychiatrists on the NHS. NHS waiting lists are notoriously how long does adhd titration take and GPs may be reluctant to refer patients on to specialist services.

Asking your GP to refer through Right to Choose is one way to avoid this (see psychiatry - UK and ADHD 360). This means you can select an organization that offers a private assessment and titration. This will cut down your waiting time by a significant amount and is more convenient if you are working and have a hectic schedule.

If you are identified as a candidate for this treatment, your chosen clinician will examine you and decide whether or not you're required to be adjusted on your medication. You'll need to complete forms that are different for each provider but the most frequent ones are self-reporting questionnaires and medical histories going to childhood and adulthood. These forms will allow your doctor to determine if there are any reasons that suggest you shouldn't take ADHD medication, even when they've been prescribed.

If you are being titrated the medication will be a combination stimulants and nonstimulant medications. These will be carefully tested and monitored to find the most suitable combination for you. The titration can be long and may require several extra appointments before you are stable.

Depending on the type of medication you are taking, follow up appointments can be scheduled either monthly or quarterly. Your clinician will check whether you are safe with the medication, document any side effects that you've experienced, and make any necessary adjustments to ensure you remain on a safe dosage. You'll also have to attend a routine health check, which could include blood pressure, pulse and weight readings as well as an annual review.

Some people might be satisfied with their medication, and therefore do not have to discuss their titration in more detail. However, for those who require further discussions regarding their titration and treatment plan it's possible to be referred back to the same private clinic that performed their initial assessment. If this happens, the titration appointment will be included in their consultation fee and they will be given their medication via a private prescription (see Consultation fees above). This can cost more than an NHS prescription since the pharmacy will charge for the medication.