Private ADHD TitrationThere is a nationwide shortage of medication that helps to treat ADHD symptoms. This is due to manufacturing issues and a growing global demand.
Our service offers private ADHD adjustment instead of waiting for NHS funding through Right to Choose. Our assessment fees include the cost of one prescription.
Titration
A comprehensive assessment of your ADHD symptoms will be conducted with a highly experienced consultant Psychiatrist. This will include medical history and an assessment using the common ADHD rating scales and questionnaires.
After your evaluation, you will be informed if medication would be beneficial for your specific situation. The discussion will take place at your follow-up appointment (which may be scheduled in person, by video link or over the phone). Your clinician will explain the different options available for you to take medication and if you decide to start on medication we will recommend titrating the dose to maximize the benefits/side effects balance for you.
This process may take several weeks, and involves gradually adjusting your child’s medication until the right balance is achieved. It's not uncommon to have to titrate up to three different medications until you discover the one that best suits your child's ADHD. Parents must be involved in this
titration adhd adults process and keep a close watchful eye on their child's behavior, so that they can inform the doctor if the medicine is helping or causing side effects.
If you decide to go back 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'll be required to attend regular appointments every six months to monitor your medication. This includes blood pressure and pulse readings. Annual exams are also required.
Follow-up appointments
Once the assessment has been completed, you will be able to schedule follow up appointments with the psychiatrist as necessary. The appointment is typically conducted by video conference using zoom. In some circumstances, it might be possible to have an audio-only consultation to be scheduled (again at an additional cost).
At this point, we will discuss any treatment options we have and come up with a unique ADHD medication titration plan. This will include a review and discussion of your medication dose and any side effects you may be experiencing. The cost for these titration appointments is PS150 for face-to face sessions and PS60 for telephone or online video consultations. The pharmacy will be charged for any cost of medication.
The psychiatrist will ask you questions regarding your family history as well as the effects of your ADHD symptoms on your daily life and any mental health issues that you may be experiencing. This is due to the fact that ADHD can be a genetic condition and it is crucial that we assess any family history that might indicate whether you are at risk of developing the disorder.
It is important to be honest and truthful to the doctor during this assessment, as the information they receive will be used to determine whether your ADHD meets the diagnostic criteria. This is a vital step in the process because if you don't do it, it could result in an incorrect diagnosis and consequently an inappropriate prescription of medication.
If you've decided that you would like to receive treatment for your ADHD We will set up a follow-up appointment with one of our psychiatrists who specialize in this area. If you'd like to begin treatment immediately it is possible to 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, you talk to your GP prior to scheduling your private examination. Certain providers have different policies regarding whether 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 after you leave the clinic to get a medication prescription.
Medication
For many people who want an individual diagnosis of ADHD, medication is a key aspect of their journey. It can be difficult to get an appointment with a psychiatrist on the NHS. NHS waiting lists can be extremely long and GPs might be reluctant to refer patients to specialist services.
One method to avoid this is to ask your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). You can pick a provider that offers an assessment that is private and titration. This can help you save time and be more convenient, especially when you are on a tight work schedule.
Once you've been recommended, your physician will evaluate you to determine if you need medication titration. You'll have to complete forms that vary by doctor, but the most common ones are self-reporting questions and medical histories that go to childhood and adulthood. These will help your clinician identify any conditions that could suggest you should not take ADHD medication if prescribed.
If you are titrated, the medication will be a combination stimulants and non-stimulant drugs. They will be carefully tested and monitored to determine the most suitable combination for you, taking into account any medical conditions you may have. The titration process may be long and could require a few extra appointments before you're able to stay on your dosage.
The frequency of your follow-up appointments will be contingent on the type and quantity of medication you are taking. They can be scheduled for monthly or quarterly. This will include your physician checking to see if you are on the right medication, recording any side effects you've experienced and making any adjustments needed to ensure that you're on a dose that is safe. You will be required to attend an annual review and a regular health check-up that includes pulse, blood pressure, and weight measurements.
Some people might be satisfied with their medication and do not need to discuss their titration in more detail. If you're required to discuss your titration plan or treatment plan more thoroughly it is possible that you'll be sent back to the private doctor who made your initial assessment. In this case the titration is included in the consultation fee. The medication will be provided through the private prescription. This can cost more than an NHS prescription since the pharmacy will charge for the medication.
