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Private ADHD Titration

There is currently a national shortage of medication to treat ADHD symptoms. This is due both to manufacturing problems and an increase in demand worldwide.

Our service can offer 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 highly experienced consultant psychiatrist will conduct a comprehensive assessment of your ADHD. This includes a complete medical history, and an assessment using the typical ADHD questionnaires and rating scales.

Following your assessment you will be informed if medication is considered to be beneficial for your situation. The discussion will take place at your follow-up appointment (which can take place in person, by video link or over the phone). Your doctor will explain the various options for medication and, if you choose to start on medication we will suggest titrating the dose to maximize the benefits/side effects balance for you.

This is a process which may take several weeks and involves adjusting your child's medication slowly until the right balance is reached. It is not unusual to need to titrate several times before determining the most effective one for your child's ADHD symptoms. It is essential that parents are involved in the titration for adhd process and be aware of their child's behavior so that they can let the doctors know if the medication is helping or causing adverse effects.

If you decide to return to NHS treatment, your medication will be provided with a prescription from a private pharmacy that you'll need to pay for at the pharmacy (this is not included in the consultation fee). You'll be required to attend six monthly appointments to monitor your medication - this includes blood pressure and pulse readings. Annual reviews are also mandatory.

Follow-up appointments

After the evaluation is completed after the assessment is completed, you can make appointment with the psychiatrist. The appointment is typically conducted through a zoom video call. However, in some circumstances, it might be possible for an audio-only appointment to be scheduled (again with an additional cost).

We will then discuss treatment options and decide on an individualised, bespoke ADHD medication adjustment. This will include a review and discussion of your medication dosage, as well as any side effects you might be experiencing. These titration sessions cost PS150 for face-to-face sessions, and PS60 via video or telephone consultation. The pharmacy will charge you for any cost of medication.

The psychiatrist will ask you questions about your family history, the effects of your ADHD symptoms on your life and any mental health issues that you might be experiencing. This is due to the fact that ADHD is an inheritable condition, and it is essential that we assess any family history that could suggest that you are at risk of developing the disorder.

During this assessment it is crucial that you are honest and honest with your doctor, as they will use the information you provide to determine whether you meet the diagnostic criteria for ADHD. This is a vital part of the process, since a failure to do so could result in an incorrect diagnosis, and thus an incorrect prescribing of medication.

If you decide to seek treatment for ADHD we'll schedule an appointment to follow-up with a psychiatrist that is skilled in this area. This can be scheduled in the wake of your diagnosis if you are keen to begin treatment right away, or within two weeks if you prefer to take time to consider the implications of your diagnosis and the possibilities that are available to you.

If you're not sure what your preference is, we suggest that you speak with your GP before booking your private adhd titration appointment as certain providers have different policies regarding 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 after you leave the clinic for medication prescription.

Medication

For many people who seek an official diagnosis of ADHD treatment is a crucial aspect of their journey. Getting an appointment with an NHS psychiatrist can be a challenge and long-winded. NHS waiting lists can be notoriously long and GPs might be reluctant to refer their patients 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 choose a service that provides an assessment on your own and titration. This will help you to save time and also be more convenient, especially if you have a busy work schedule.

If you are referred, your clinician will evaluate you to determine if require medication titration. You will need to complete forms that are different for each provider however the most commonly used ones are self-reporting questionnaires and medical histories going to childhood and adulthood. These forms will allow your doctor to determine if there are circumstances that indicate you shouldn't be taking ADHD medications, if they have been prescribed.

If you are being titrated, the medication will consist of stimulants and non-stimulant drugs. The combination will be carefully tested and monitored to find the most suitable combination for you, taking into account any current conditions you suffer from. The titration can be lengthy and may require a number of additional appointments before you are stable.

The frequency of your follow-up appointments will depend on the type and amount of medication you are taking. They can be monthly or quarterly. Your doctor will ensure whether you are stable on the medication, document any side effects that you have experienced and make any needed adjustments to ensure that you remain on a dose that is safe. You will be required to attend an annual review as well as a routine health examination which includes pulse, blood pressure and weight measurements.

Some people may be satisfied with their medication and therefore do not have to discuss their titration further. If you need to discuss your titration process adhd plan or treatment plan further, it is possible that you'll be sent to the private clinic that performed your initial evaluation. If this happens, the titration appointment will be included in their consultation fees and they will be given their medication via private prescription (see Consultation fees above). This could cost more than an NHS prescription because the pharmacy will charge for the medication.