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Private ADHD Titration

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

Our service is private ADHD titration adhd meds instead of waiting for NHS funding via Right to Choose. Our assessments are free and include the cost of one prescription.

Titration

A thorough evaluation of your ADHD symptoms will be carried out by a highly experienced consultant Psychiatrist. This will include a medical history and an assessment using the typical ADHD rating scales and questionnaires.

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

This process could take several weeks, and involves gradually adjusting your child’s medication until the appropriate balance is achieved. It is not uncommon to to titrate up to three different medicines before you find the one that best suits your child's ADHD. It is essential for parents to be involved in this titration process 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 decide to return to NHS care and have decided to return to NHS care, your medication will be given as a private prescription which you'll need to pay for at the pharmacy (this is not included in your consultation fees). You will need to keep up with your appointments every six months to monitor your medications. This includes the measurement of pulse and blood pressure. Annual reviews are also required.

Follow-up appointments

After the assessment is completed you will be able to schedule appointment with the psychiatrist, as necessary. Typically, the appointment will take place on zoom video call but in certain circumstances it may be possible to schedule an audio only consultation (again at an extra cost).

We will then discuss treatment options and decide on a bespoke, individualised ADHD medication titration. This will include a review and discussion of your dosage of medication and any side effects you might be experiencing. These 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 psychiatrist will ask questions regarding your family history and the effects of your ADHD symptoms on your daily life and any relationship problems or mental health issues you may be experiencing. This is because ADHD can be a genetic disorder and it is important to examine any family history that might suggest that you are at risk of developing the disorder.

It is important that you are honest and transparent with your doctor during this evaluation, as the information they receive will be used to determine if your ADHD meets the diagnostic criteria. This is an important step, as the wrong diagnosis can lead to inappropriate medication prescription.

If you decide to be treated for ADHD We'll set up an appointment to follow-up with a psychiatrist that is skilled in this area. This can be scheduled within the first few days of your diagnosis if are keen to begin 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.

If you are unsure of what your preference is We suggest you talk to your GP before booking your private appointment as certain providers have different policies regarding whether they require an GP referral letter or not. We also recommend to check if your GP accepts a 'Shared Care Agreement which means that after you have been discharged from the clinic you will be sent back to them to get the prescription for medication.

Medication

For many who wish to obtain an official diagnosis of ADHD, medication is a crucial part of their journey. It isn't always easy to obtain prescriptions from psychiatrists on the NHS. NHS waiting lists can be extremely long and GPs might be reluctant to refer their 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). You can choose a service who offers an assessment on your own and the titration. This will help you save time and be more convenient, particularly if you have a busy schedule.

If you are referred, your clinician will evaluate your condition to determine if you need medication adjustment. You'll have to complete forms that differ by provider but the most frequent ones are self-reporting questionnaires and medical histories dating to childhood and adulthood. These forms will allow your doctor to determine if there are any circumstances that indicate that you shouldn't be taking ADHD medication, even if they have been prescribed.

If you are being titrated on medication, this will usually include a mix of non-stimulant and stimulant medications. These will be carefully tested and monitored to find the best combination for you. The titration process can be lengthy and may need a few extra appointments before you're stable on your dose.

Depending on the type of medication you are taking, follow-up appointments will be either monthly or quarterly. The appointment will involve your doctor checking to see if you are taking the correct medication, recording any side effects you've experienced, and making any adjustments needed to ensure that you remain on a dose that is safe. You will also be required to attend a regular health check which can include blood pressure and pulse readings, as well as weight and weight measurements and an annual check-up.

Some patients may be content with their treatment and do not require discussing their titration process further. However, for those who do need further discussions about their titration adhd and treatment plan it is possible that they will be referred back to the private clinic that performed their initial assessment. In this case the titration will be included in the consultation fee. The medication will be given via the private adhd titration prescription. This can cost more than an NHS prescription as the pharmacy will charge for the medication.