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Private ADHD Titration

There is a current national shortage of medications to treat ADHD symptoms. This is due both to manufacturing issues and an increased demand in the world.

Our service is private ADHD treatment instead of waiting for NHS funding through Right to Choose. Our assessment fees include the cost of a single prescription.

titration process adhd

A thorough evaluation of your ADHD symptoms will be conducted with an experienced consultant Psychiatrist. This includes a thorough medical history, as well as an assessment using the standard ADHD questionnaires and rating scales.

After your examination, you will be advised whether medication may be beneficial in your particular situation. This will take place during your follow-up appointment (which could be in person by video link, in person or by phone). Your clinician will discuss the various options for medications available. If you decide to start medication, we can help you to titrate your dose to optimize the benefits/side-effects balance for you.

This process may take several weeks and requires gradually altering your child's medication until the proper balance is reached. It's not uncommon to need to adjust several times before determining the most effective one for your child's ADHD symptoms. It is essential that parents take part in the titration and keep an eye out for their child's behavior, so they can inform doctors whether the medication is helping or causing adverse reactions.

If you decide to return to NHS treatment you will receive a private prescription for your medication. You will have to pay for your prescription at the pharmacy. This is not included in the consultation fee. You'll be required to attend six monthly appointments to monitor your medication - this includes pulse and blood pressure readings. Annual exams are also required.

Follow-up appointments

After the assessment is completed, you'll be able to book follow-up appointments with the psychiatrist, as appropriate. Usually the appointment will take place via a zoom video call however in some instances it might be possible to schedule an audio only consultation (again at an additional cost).

We will then go over treatment options and choose an individualised, bespoke ADHD medication adjustment. This will include a review of your medication dosage as well as a discussion of any possible side effects you might be experiencing. The cost for these titration consultations is PS150 for face-to-face sessions and PS60 for online or telephone video consultations. Medication costs are additional and are paid directly to the pharmacy.

The psychiatrist will also inquire with you about your family history and the impact that your ADHD symptoms impact your life, including any issues with your relationships that you may be experiencing or other mental health problems that you may be experiencing. This is due to the fact that ADHD is an inheritable condition, and it is essential that we assess any family history that might indicate that you're at risk of developing the disorder.

During the assessment, it is vital to be truthful and honest with your doctor, as they will use the information you provide to determine whether you meet the diagnostic criteria for ADHD. This is a crucial step, as the wrong diagnosis can lead to inappropriate medication prescription.

If you have decided that you'd like to be treated for your ADHD, we will then arrange a follow up appointment with one of our psychiatrists that specialize in this area. If you'd like to begin treatment immediately it is possible to start treatment immediately following the diagnosis. You can also take for two weeks before considering the implications of the diagnosis and your options.

If you are unsure of which one you prefer, we suggest that you speak to your GP prior to booking your private appointment as certain providers have different policies regarding whether they require a GP referral letter or not. Make sure that your GP accepts a Shared Care Agreement, which means you will be referred to them when you leave the clinic to get a medication prescription.

Medication

Medication is an integral element of the process for many who are seeking a private ADHD diagnosis. It can be difficult to get a prescription from a psychiatrist on the NHS. NHS waiting lists can be notoriously long, and GPs may be reluctant to refer patients to specialist services.

Requesting your GP to refer through 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 will help you save time and be more convenient, especially in the event of a hectic schedule.

After you've been recommended by this method the doctor you choose 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 however the most commonly used ones are self-reporting questionnaires and medical histories that go back to childhood and adulthood. These forms will assist your doctor identify any factors that might indicate that you shouldn't be taking ADHD medications if they're prescribed.

If you are being titrated, the medication will consist of stimulants and nonstimulant medicines. The combination will be carefully tested and monitored to determine the most effective combination for you, taking into account any current conditions you suffer from. The titration process may be lengthy and may need a few extra appointments before you're stable on your dosage.

Based on the type of medication you are taking, follow up appointments could be scheduled monthly or quarterly. Your physician will make sure whether you are safe with the medication, document any adverse reactions you've experienced and make any needed adjustments to ensure that you remain on a safe dosage. You are required to attend an annual review as well as a regular health check-up that includes blood pressure, pulse, and weight measurements.

For some, it may be that they are happy with their medication and don't require a further discussion about their titration. If you need to discuss your titration or treatment plan further it is likely that you'll be sent back to the private clinic who performed your initial assessment. If this occurs, the titration adhd meds consultation will be included in their consultation fee and they will receive their medication through a private prescription (see Consultation fees above). This may cost more than prescriptions from the NHS, as the pharmacy will charge you for the medication.