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Private ADHD Titration

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

Our service can offer private ADHD testing 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 conducted by an experienced consultant Psychiatrist. This will include a medical history and an assessment using the typical ADHD rating scales and questionnaires.

After your evaluation After your assessment, you will be informed whether medication is appropriate for your situation. This will take place at your follow up appointment (which can be scheduled in person by video link, in person or via phone). Your doctor will go over the various medication options available. If you decide to begin medication, we will offer you the option of titrating your dose to optimize the benefits/side-effects balance for you.

This is a process which could take a few weeks and requires adjusting your child's dosage gradually until the proper balance is achieved. It's not uncommon to have to titrate several times before finding the one that is best for your child's ADHD symptoms. It is essential for parents to take part in this process of titration and keep a close eye on their child's behaviour so that they can inform the doctor whether the medication is working or causing side effects.

If you do not decide to return to NHS care the medication you take will be issued with a private prescription which you will need to pay for at the pharmacy (this is not included in your consultation fee). You must attend six monthly appointments to monitor your medication. This includes pulse and blood pressure readings. Annual checks are also required.

Follow-up appointments

After the evaluation is completed 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 but in certain circumstances it is possible to schedule an audio only consultation (again at an extra cost).

At this point, we will discuss any treatment options we have and agree upon a bespoke individualised ADHD medication titration program. This will include a discussion and review of your medication dosage and any adverse effects you may be experiencing. The titration sessions cost PS150 for face-toface sessions and PS60 via telephone or video consultation. The pharmacy will charge you for any charges for medication.

The doctor will also ask you about your family history and the impact your ADHD symptoms can have on your life, including any issues with relationships you may be experiencing or other mental health problems that you might be experiencing. This is because ADHD is an inheritable condition, and it is essential that we assess any family history that may indicate whether you are at risk of developing the disorder.

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

If you decide to receive treatment for ADHD we'll schedule an appointment for a follow-up visit with a psychiatrist who specializes in this area. If you'd like to start treatment right away, you can do this immediately following the diagnosis. You can also take for two weeks before considering the implications of the diagnosis and the options available to you.

We suggest that if are unsure about your preferences, you speak with your GP prior to scheduling your private examination. Some providers have different guidelines regarding whether or not they require a GP letter. Check if your GP accepts a Shared Care Agreement, dosing adjustments which means you will be referred to them once you leave the clinic to get a medication management prescription.

Medication

Medication is an integral aspect of the treatment process for many people who are seeking an official ADHD diagnosis. Finding a prescription from an NHS psychiatrist can be difficult and long-winded. NHS waiting lists are notoriously long and GPs are often reluctant to refer patients on to specialist services.

Requesting your GP to refer through Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). You can select a provider that offers an assessment that is private and the titration. This can reduce your wait time by a significant amount and is more convenient when you are 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're required to be adjusted on your medication. You will be asked to fill in forms that vary by provider but the main ones are self-report questionnaires as well as medical histories from childhood and adulthood. These forms will assist your doctor identify any factors that might mean you shouldn't take adhd medication dosing schedule medications if they're prescribed.

If you are being titrated the medication will be a combination stimulants and non-stimulant drugs. These will be carefully trialled and monitored to find the best combination for you, taking into consideration any medical conditions you may have. The titration process may be lengthy and may need several additional appointments before you're able to stay on your dosage.

Depending on the kind of medication you are taking, follow up appointments could be scheduled monthly or quarterly. This will involve your clinician checking to see if you are on the right medication, recording any side effects you've experienced, and making any necessary dosing Adjustments to ensure that you're on a dose that is safe. You are required to attend an annual health check-up and routine health examination which includes pulse, blood pressure and weight measurements.

Some people may be satisfied with their medication and do not need to discuss their titration further. If you're looking to discuss your titration plan or treatment plan in more detail it is possible that you'll be referred back to the private doctor who made your initial assessment. If this occurs, the titration consultation will be included in their consultation fee and they will be given their medication via private prescription (see Consultation fees above). This can cost more than a prescription from the NHS, as the pharmacy will charge you for the medication.