Private ADHD Titration

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

Our service is private ADHD adjustment instead of waiting for NHS funding through Right to Choose. Our assessments cost include the cost of one prescription.

titration period adhd

A comprehensive assessment of your ADHD symptoms will be conducted by a highly experienced consultant psychiatrist. This will include an examination of your medical history as well as an assessment using the common adhd titration uk rating scales and questionnaires.

After your evaluation, you will be informed whether medication may be beneficial in your case. This will be discussed during your follow-up appointment (which could be in person, via video link or via phone). Your clinician will explain the different options available for you to take medication and, if you choose to start on medication we will recommend titrating the dose to optimise the balance of benefits and side effects for you.

This is a process which can take several weeks, and involves adjusting your child's medication gradually until the appropriate balance is achieved. It is not unusual to need to titrate three or four medications before determining the most effective one for your child's ADHD symptoms. It's important for parents to be involved in this titration process and keep an eye on their child's behavior so that they can inform the doctor if the medicine is helping or causing adverse effects.

If you decide to go back to NHS treatment you will receive an individual prescription for your medication. You will have to pay at the pharmacy. This is not included in the consultation cost. You will be required to attend regular appointments every six months to monitor your medication - this includes pulse and blood pressure readings. Annual exams are also required.

Follow-up appointments

Once the assessment has been completed, you'll be able to schedule follow-up appointments with the psychiatrist, as appropriate. Usually the appointment will take place via a zoom video call however in some instances it may be possible to do an audio-only consultation (again at an additional cost).

We will then discuss treatment options and decide on a bespoke, individualised ADHD medication adjustment. This will include an assessment of your medication dose and an examination of any side effects you might be experiencing. The cost for these titration period adhd appointments is PS150 for face to face sessions and PS60 for online or phone video consultations. Medication costs are additional and are paid directly to the pharmacy.

The psychiatrist will ask questions about your family history as well as the impact of your ADHD symptoms on your life, and any mental health issues that you may be experiencing. ADHD can be a hereditary condition, and it's vital to look into your family's background to determine if you're at a higher chance of developing this disorder.

It is essential to be honest and transparent with your doctor during this evaluation, as the information they gather will be used to determine whether your ADHD fits the diagnostic criteria. This is a crucial step, since an incorrect diagnosis could result in an inappropriate prescription 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 within the first few days of your diagnosis if are eager to begin treatment right away or within two weeks if prefer to take time to consider the implications of your diagnosis and the options available to you.

If you are unsure of which one you prefer, we suggest that you talk to your GP prior to scheduling your private assessment as some providers have different policies regarding whether they require an GP referral letter or not. Find out if your GP accepts a Shared Care Agreement, which means you will be referred to them once you leave the clinic to get a prescriptions for medication.

Medication

For many people who want an official diagnosis of ADHD treatment is an important aspect of their journey. Getting a prescription from an NHS psychiatrist can be difficult and lengthy. NHS waiting lists are notoriously how long does adhd titration take and GPs can be reluctant to refer patients on to specialist services.

One way to get around this is to ask your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). You can select a provider that offers a private assessment service and titration. This can help you save time and be more convenient, especially in the event of a hectic work schedule.

Once you have been referred through this route the doctor you choose will examine you and decide whether or not you need to be titrated on medication. You will be asked to fill in forms that differ by doctor but the main ones are self-report questionnaires as well as medical histories from childhood to adulthood. These forms will help your clinician determine if there are circumstances that indicate you shouldn't be taking ADHD medications, when they've been prescribed.

If you are titrated on medication, it will typically be a combination of stimulants and non-stimulant medications. They will be tested and monitored to find the right combination for you. The titration procedure can be long and may require several extra appointments before your dose is stable.

Depending on the kind of medication you are taking, follow-up appointments will be either monthly or quarterly. The appointment will involve your doctor checking that you are taking the correct medication, recording any side effects you've experienced, and making any necessary adjustments to ensure you are on a safe dosage. You are required to attend an annual review and a routine health examination which includes pulse, blood pressure, and weight measurements.

Some patients may be content with their medication and therefore do not require discussing their titration further. If, however, they require further discussions regarding the titration process and treatment plan, it's possible that they will be referred back to the private clinic that performed their initial assessment. If this happens, the titration for adhd appointment will be part of their consultation fee and they will be given their medication through an individual prescription (see Consultation fees above). This can cost more than an NHS prescription as the pharmacy will charge for the medication.