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Private ADHD Titration

There is a national shortage of medications that treat ADHD symptoms. This is due both to manufacturing problems as well as an increased global demand.

Our service offers private adhd medication titration adhd titration meaning treatment instead of waiting for NHS funding via Right to Choose. Our assessments are free and include the cost of one prescription.

Titration

A highly experienced psychiatrist consultant will conduct a thorough evaluation of your ADHD. This includes a complete medical history, and an assessment using the typical ADHD questionnaires and rating scales.

After your examination, you will be advised whether medication may be beneficial for your situation. This will be discussed at your follow-up appointment (which can be scheduled in person, via video link or by phone). Your clinician will explain what medication options are available and, if you decide to start on medication we will suggest titrating the dose to optimise the balance of benefits and side effects for you.

This process can take several weeks and requires gradually altering your child’s medication until the right balance is achieved. It's 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 crucial that parents take part in the titration process and be aware of their child's behavior so that they can inform doctors whether the medication is helping or causing adverse effects.

If you decide to return to NHS treatment, your medication will be provided with a prescription from a private pharmacy that you'll need to pay for at the pharmacy (this is not included in your consultation fee). You will need to attend six-monthly appointments to monitor your medication. This includes pulse and blood pressure measurements. Annual checks 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 through a video call using zoom however in some instances it might be possible to have an audio-only consultation (again at an extra cost).

In this session, we'll discuss any treatment options and agree upon a bespoke individualised ADHD medication titration strategy. This will include an assessment of your medication dosage and a discussion of any possible side effects you might be experiencing. The cost of these titration sessions 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 titration uk symptoms have on your life, including any relationship issues you might be experiencing or other mental health issues you may be suffering from. This is because ADHD is a genetic disorder and it is crucial to look into any family history that may indicate whether you are at risk of developing the disorder.

It is important to be honest and open with the clinician during this assessment, as the information they get will be used to determine whether your ADHD meets the diagnostic criteria. This is a crucial step because an incorrect diagnosis could lead to inappropriate medication prescription.

If you've decided you would like to receive treatment for your ADHD, we will then arrange a follow up appointment with one of our psychiatrists who specialise in this area. If you want to start treatment right away you can start treatment at the time of diagnosis. You can also wait two weeks to think about the implications of the diagnosis and the options available to you.

We suggest that if you are unsure about your preferences, talk with your GP prior to booking your private appointment. Some providers have different policies on whether or not they require the submission of a GP letter. Make sure that your GP accepts a Shared Care Agreement, which means you will be referred to them once you leave the clinic to get a prescription medication.

Medication

For many who wish to obtain an official diagnosis of ADHD, medication is a key aspect of their journey. Getting prescriptions from an NHS psychiatrist can be a hassle and time-consuming. NHS waiting lists can be extremely long, and GPs might be reluctant to refer patients to specialist services.

One way to get around this is to ask your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). This means that you can select an organization that offers a private assessment and titration. This will cut down your waiting time considerably and can be more convenient if you are working and have a full schedule.

Once you have been recommended by this method, your chosen clinician will assess you and decide whether or not you require to be monitored for a dose of medication. You'll have to complete forms that vary by doctor however the most commonly used ones are self-reporting questions and medical histories dating back to childhood and adulthood. These forms will allow your doctor to determine if there are any factors that could mean you shouldn't be taking ADHD medication, even if they have been prescribed.

If you are titrated on medication, this will usually 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 consideration any current conditions you suffer from. The titration process can be lengthy and may require a number of additional appointments before your dose is stable.

The frequency of your follow-up appointments will depend on the type and amount of medication that you are taking. They could be scheduled monthly or quarterly. Your physician will make sure that you are stable with the medication, document any adverse reactions you've experienced and make any necessary adjustments to ensure you remain on a dose that is safe. You'll also be required to attend a regular health check, which could include blood pressure readings, pulse and weight and an annual check-up.

Some patients may be content with their treatment and therefore do not have to discuss their titration in more detail. If you're looking to discuss your titration adhd or treatment plan more thoroughly it is possible that you'll be referred back to the private clinic that performed your initial evaluation. In this scenario the titration will be included in the consultation cost. The medication will then be provided through the private prescription. This can cost more than an NHS prescription since the pharmacy will charge for the medication.