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Private ADHD Titration

There is currently a nationwide shortage of medication to treat ADHD symptoms. This is due to manufacturing problems and increased global demand.

Our service can provide private ADHD testing as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees cover the cost of one prescription.

Titration

A thorough assessment of your ADHD symptoms will be conducted by an experienced consultant Psychiatrist. This will include a medical history and an assessment using the standard ADHD rating scales and questionnaires.

Following your assessment you will be informed if medication is considered to be beneficial in your particular situation. This will be discussed during your follow-up appointment (which could be in person, via video link or over the phone). Your doctor will go over the various medication options available. If you decide to start medication, we will help you to titrate your dose to ensure the best balance of benefits and side effects for you.

This process can take several weeks, and involves gradually adjusting your child's dosage until the right balance has been achieved. It's not uncommon to to titrate up to three different medications until you discover the one that best suits your child's ADHD. It is crucial that parents participate in the titration process and be on the lookout for their child's behavior, so they can let the doctors know whether the medication is helping or causing adverse effects.

If you decide to return to NHS treatment, you will receive an individual prescription for your medication. You will be required to pay at the pharmacy. This is not included in the consultation fee. You will need to keep up with your appointments every six months to monitor your medication. This includes blood pressure and pulse measurements. Annual reviews are also required.

Follow-up appointments

Once the assessment has been completed, you will be able to book follow up appointments with the psychiatrist as necessary. The appointment will usually be conducted by video conference using zoom. However, in some circumstances, it might be possible for an audio-only consultation to be scheduled (again with an additional cost).

We will then go over treatment options and choose a bespoke, individualised ADHD medication adjustment. This will include a review of your medication dosage as well as a discussion of any possible negative side effects you may be experiencing. These titrations cost PS150 for face-to-face sessions, and PS60 via video or telephone consultation. The pharmacy will be charged for any charges for medication.

The psychiatrist will also inquire with you about your family history and the impact your ADHD symptoms impact your life, as well as any relationship issues you might be having or other mental health issues you may be suffering from. This is due to the fact that ADHD can be 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.

It is essential to be honest and truthful with your doctor during the assessment, since the information they get will be used to determine if your ADHD fits the diagnostic criteria. This is a vital step in the process, since a failure to do so could result in an incorrect diagnosis, and thus an incorrect prescribing of medication.

If you've decided that you would like to be treated for your ADHD, we will then set up a follow-up appointment with one of our psychiatrists who specialise in this area. This can be scheduled at the time of your diagnosis if want to start treatment right away, or within two weeks if would like more time to consider the implications of your diagnosis and the options that are available to you.

We suggest that if you are unsure of your preferences, talk with your GP prior to scheduling your private appointment. Some providers have different policies regarding whether or not they require the submission of a GP letter. We also suggest to check if your GP accepts a "Shared-Care Agreement that means that once discharged from the clinic you will be referred back to them for the medication prescription.

Medication

Medication is an integral element of the process for many who are looking for an official ADHD diagnosis. Getting an appointment with an NHS psychiatrist can be a challenge and time-consuming. NHS waiting lists are notoriously long and GPs are often reluctant to refer patients to specialist services.

Asking your GP to refer you to 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. This will help you reduce time and be more convenient, especially in the event of a hectic work schedule.

If you are identified as a candidate for this treatment, your chosen clinician will examine you and decide whether or not you need to be monitored for a dose of medication. You'll have to complete forms that differ by provider however the most commonly used ones are self-reporting questions and medical histories going back to childhood and adulthood. These forms will assist your doctor identify any conditions that could suggest you should not take ADHD medication if prescribed.

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

Depending 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 stable on the medication, document any adverse reactions you've experienced and make any necessary adjustments to ensure you remain on a safe dosage. You will be required to go to 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 don't need to discuss their titration further. If you're looking to discuss your titration process adhd plan or treatment plan more thoroughly, it is possible that you'll be referred back to the private doctor who performed your initial assessment. If this happens, the titration appointment will be included in the consultation fee, and they will be given their medication through an individual prescription (see Consultation fees above). This may cost more than a prescription from the NHS since the pharmacy will charge for the medication.