Private ADHD Titration
There is currently a nationwide shortage of medications that treat ADHD symptoms. This is due both to manufacturing problems and an increased global demand.
Our service is private ADHD treatment instead of waiting for NHS funding through Right to Choose. Our assessments are free and include the cost of one prescription.
Titration
A comprehensive assessment of your ADHD symptoms will be carried out by a highly experienced consultant psychiatrist. This includes a thorough medical history, and an evaluation using the common ADHD questionnaires and rating scales.
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 can be done in person, via video link or via phone). Your clinician will explain the various options for medication and, if you choose to begin taking medication, we will suggest titrating dosage to ensure the benefits/side effects balance for you.
This is a process which could take a few weeks, and involves adjusting the dosage of your child's medication gradually until the proper balance is achieved. It's not uncommon to have to titrate up to three different medications until you discover the one that best fits your child's ADHD. It is essential for parents to be involved in this titration process, and keep an eye on their child's behaviour to let the doctor know whether the medication is helping or causing adverse effects.
If you decide to return to NHS treatment you will receive a private prescription for your medication. You will be required to pay the pharmacy. This is not included in the consultation cost. You will be required to attend every six months to check your medication - this includes blood pressure and pulse readings. Annual reviews are also required.
Follow-up appointments
After the assessment is complete, you can schedule follow-up appointments with your psychiatrist. The appointment will usually be conducted by video conference using zoom. In some circumstances, it might be possible to have an audio-only appointment to be scheduled (again with an additional cost).
At this point we will discuss any treatment options we have and agree upon a bespoke individualised
ADHD medication titration plan. This will include a review of your medication dosage and a discussion of any possible side effects you might be experiencing. The cost of these
titration process adhd appointments is PS150 for face-to face sessions and PS60 for telephone or online video consultations. The cost of medication is 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 symptoms have on your life, as well as any issues with relationships you may be having or other mental health issues you may be suffering from. This is because ADHD can be a genetic 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 crucial that you are honest and honest with the clinician who will be using the information you provide to determine if you have the diagnostic criteria for ADHD. This is an important step because an incorrect diagnosis could result in a prescription for medication that is not appropriate.
If you decide to be treated for ADHD, we'll arrange an appointment to follow-up with a psychiatrist that is skilled in this field. This can be done within the first few days of your diagnosis if you want to start treatment immediately or within two weeks if you want to consider the implications of your diagnosis and the alternatives available to you.
If you aren't sure which one you prefer We suggest you talk to your GP prior to scheduling your private assessment as some providers have different policies about whether they require the submission of a GP referral letter or not. Find out if your GP accepts the Shared Care Agreement, which means you will be referred to them once you leave the clinic for medication prescription.
Medication
The medication process is an essential part of the journey for many who are looking for an official ADHD diagnosis. Getting prescriptions from an NHS psychiatrist can be difficult and long-winded. NHS waiting lists can be extremely long, and GPs might be reluctant to refer patients to specialist services.
Inquiring 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 titration. This can reduce your wait time considerably and can be more convenient if you're working and have a full schedule.
Once you have been referred through this route, your chosen clinician will examine you and decide whether or not you require to be titrated on medication. You will need to complete forms that vary by doctor however the most commonly used ones are self-reporting questions and medical histories dating to childhood and adulthood. They will help your physician determine any issues that could indicate that you shouldn't be taking ADHD medications if they're prescribed.
If you are titrated on medication, it
what is titration adhd likely to include a mix of non-stimulant and stimulant medications. They will be carefully tested 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 several extra appointments before the dose becomes stable.
Based on the type of medication you're taking, follow-up appointments will be either monthly or quarterly. Your physician will make sure whether you are stable on the medication, note any side effects you've experienced, and make any necessary adjustments to ensure you remain on a dose that is safe. You will be required to go to an annual review and a routine health examination which includes blood pressure, pulse, and weight measurements.
Some people may be satisfied with their medication, and therefore do not require discussing their titration further. If you're looking to discuss your titration or treatment plan in more detail it is possible that you'll be referred back to the private clinic who made your initial assessment. If this happens, the
titration period adhd appointment will be included in their consultation fee and they will be given their medication on private prescription (see Consultation fees above). This can cost more than prescriptions from the NHS since the pharmacy will charge for the medication.