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Private ADHD Titration

There is currently a national shortage of medication that helps to treat ADHD symptoms. This is due both to manufacturing problems as well as an increased demand in the world.

Our service is able to provide private ADHD titration as an alternative to waiting for NHS funding through 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 includes a thorough medical history, as well as an evaluation using the standard ADHD questionnaires and rating scales.

After your examination You will be advised if medication would be beneficial for your particular situation. This will be discussed at your follow-up appointment (which may be scheduled in person, via video link or over the 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 offer to titrate the dose to optimise the benefits/side effects balance for you.

This process could take a few weeks, and requires adjusting your child's dosage gradually until the proper balance is achieved. It is not unusual to need to titrate three or four medications before finding the best one for your child's ADHD symptoms. It's important for parents to take part in this process of titration and keep an watchful eye on their child's behavior, so that they can inform the doctor whether the medication what is titration in adhd working or causing adverse effects.

If you decide to return to NHS care and have decided to return to NHS care, your medication will be issued with a private prescription which you'll need to pay for at the pharmacy (this is not included in your consultation fees). You will need to keep up with your appointments every six months to monitor your medication. This includes pulse and blood pressure measurements. Annual exams are also required.

Follow-up appointments

After the assessment is complete and you are satisfied, you can schedule follow-up appointments with your psychiatrist. Usually the appointment will take place on zoom video call however in some instances it might be possible to do an audio-only consultation (again at an extra cost).

At this point we will discuss any treatment options we have and decide on a custom-made ADHD medication titration program. This will include an assessment of your medication dose and an examination of any adverse effects you may be experiencing. The cost of these titration consultations is PS150 for face-to face sessions and PS60 for telephone or online video consultations. Costs for 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 have on your life, including any issues with relationships you may be experiencing or other mental health issues you might be experiencing. This is due to the fact that ADHD is a genetic condition and it is essential that we assess 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 gather will be used to determine if your ADHD meets the diagnostic criteria. This is a crucial step because a wrong diagnosis could lead to inappropriate medication prescription.

If you have decided that you would like to receive treatment for your ADHD, we will then set up a follow-up appointment with one of our psychiatrists that specialize in this field. This can be scheduled within the first few days of your diagnosis if you are keen to begin treatment right away or within two weeks if you prefer to take time to think about the implications of your diagnosis and the possibilities that are available to you.

We recommend that if you are unsure about your preferences, you speak with your GP prior to scheduling your private assessment. Certain providers have different guidelines regarding whether they require an GP letter. Find out if your GP accepts a Shared Care Agreement, which means you will be referred to them when you leave the clinic to get a prescription medication.

Medication

Medication is an integral element of the process for many who are looking for a private ADHD diagnosis. Finding a prescription from an NHS psychiatrist can be a challenge and lengthy. NHS waiting lists can be notoriously long and GPs might be reluctant to refer patients 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 a provider that offers a private assessment and titration service. This can reduce your wait time significantly and is more convenient if you're working and have a full schedule.

After you've been recommended by this method the doctor you choose will assess you and decide whether or not you require to be monitored for a dose of medication. You will be asked to fill in forms that are different for each provider, but the main ones are self-report questionnaires as well as medical histories from childhood to adulthood. These forms will help your clinician determine if there are circumstances that indicate that you shouldn't be taking ADHD medication, when they've been prescribed.

If you are titrated on medication, it is likely to be a combination of stimulants and non-stimulant drugs. These will be carefully trialled and monitored to find the best combination for you, taking into account any existing conditions you have. The titration process can be long and may require a number of additional appointments before you are stable.

Depending on the kind of medication you're taking, follow-up appointments could be scheduled monthly or quarterly. Your physician will make sure that you are stable with the medication, record any side effects that you have experienced and make any necessary adjustments to ensure that you remain on a dose that is safe. You'll also be required to undergo a regular health check which can include blood pressure, pulse and weight readings as well as an annual check-up.

For some, it may be that they are happy with their medication and don't need a further discussion about their titration. If you're looking to discuss your titration adhd adults plan or treatment plan further it is possible that you'll be referred to the private clinic who made your initial assessment. In this instance the titration is included in the consultation cost. The medication will then be provided through the private prescription. This can cost more than prescriptions from the NHS since the pharmacy will charge you for the medication.