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Private ADHD Titration

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

Our service is able to offer private ADHD testing as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees cover the cost of a single prescription.

Titration

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

After your examination You will be advised if medication would be beneficial for your particular situation. This will take place during your follow-up appointment (which can be scheduled in person by video link, in person or by phone). Your doctor will explain what is titration adhd medication options are available and if you decide to start on medication we will suggest titrating the dose to maximize the benefits/side effects balance for you.

This is a process which can take several weeks. It requires adjusting your child's dosage slowly until the right balance is reached. It is not uncommon to have to adjust up to three different medications until you discover the one that best suits 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 effects.

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

Follow-up appointments

Once the assessment is completed and you are satisfied, you can schedule follow-up appointments with the psychiatrist. Usually the appointment will take place through a video call using zoom however in some instances it may be possible to schedule an audio only consultation (again at an extra cost).

We will then discuss the options for treatment and then decide on a bespoke, individualised ADHD medication adjustment. This will include a discussion and review of your dosage of medication, as well as any side effects that you may be experiencing. These titrations cost PS150 for face-to-face sessions and PS60 via video or telephone consultation. Costs for Private ADHD Titration medication are extra and are paid directly to the pharmacy.

The psychiatrist will also ask you about your family history and the impact that your ADHD symptoms can have on your life, as well as any relationship issues you might be having or other mental health problems that you might be experiencing. ADHD can be a hereditary condition, and it's vital to assess your family history in order to determine if you're at a greater chance of developing this disorder.

During this assessment it is vital that you are truthful and honest with your doctor in the sense that they will use the information you provide to determine if you have the diagnostic criteria for ADHD. This is a crucial step, as a wrong diagnosis could result in an inappropriate prescription of medication.

If you have decided that you'd like to be treated for your adhd titration waiting list, we will then arrange a follow up appointment with one of our psychiatrists who specialise in this field. This can be done at the time of your diagnosis if are eager to begin treatment immediately, or within two weeks if want to consider the implications of your diagnosis and the options available to you.

We recommend that if you are unsure about your preferences, talk to your GP prior to scheduling your private appointment. Certain providers have different policies regarding whether they require an GP letter. Check if your GP accepts the Shared Care Agreement, which means that you will be referred to them once you leave the clinic to get a medication prescription.

Medication

Medication is a key aspect of the treatment process for many who are seeking an official ADHD diagnosis. Getting prescriptions from an NHS psychiatrist can be difficult and lengthy. NHS waiting lists are notoriously long and GPs are often reluctant to refer patients on to specialist services.

Requesting 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 who offers a private assessment service and the titration. This will help you reduce time and be more convenient, particularly when you are on a tight work schedule.

If you are referred, your clinician will evaluate you to determine if require medication titration. You will be asked to fill out forms that vary by provider but the most common ones are self-report questionnaires as well as medical histories from childhood and adulthood. These forms will help your clinician determine if there are any reasons that suggest that you shouldn't be taking ADHD medication, even in the event that they've been prescribed.

If you are titrated, the medication will consist of stimulants and nonstimulant medications. They will be carefully tested and monitored to determine the most effective combination for you, taking into consideration any medical conditions you may have. The process of titration can be lengthy and may require a few extra appointments before you're able to stay on your dose.

Depending on the type of medication you are taking, follow up appointments could be scheduled monthly or quarterly. This will include your physician checking to see if you are on the right medication, recording any side effects you've experienced, and making any adjustments needed to ensure that you remain on a safe dosage. You'll also be required to attend a routine health check which can include blood pressure, pulse and weight readings as well as an annual check-up.

Some people may be satisfied with their medication and don't require discussing their titration in more detail. If you're looking to discuss your titration or treatment plan in more detail, it is possible that you will be referred to the private clinic that performed your initial evaluation. If this occurs, the titration consultation will be included in the consultation fee and they will receive their medication via a private prescription (see Consultation fees above). This could cost more than a prescription from the NHS, as the pharmacy will charge for the medication.