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Private adhd titration (Going On this page)

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

Our service can offer private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessments are free and include the cost of one prescription.

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A thorough evaluation of your ADHD symptoms will be conducted with 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 whether medication is appropriate for your situation. This will take place at your follow up appointment (which can be done in person by video link, in person or via phone). Your clinician will discuss the different options for medication available. If you decide to begin medication, we can help you the opportunity to increase your dosage to ensure the best balance of benefits and side effects for you.

This process may take a few weeks and it involves gradually altering your child’s medication until the appropriate balance is achieved. It's not uncommon to to titrate as high as three different medicines before you can find the one that best fits your child's ADHD. It is important that parents participate in the titration process and keep an eye out for their child's behavior so they can inform doctors whether the medication is working or causing adverse reactions.

If you decide to return to NHS treatment the medication you take will be provided with a private prescription which you'll need to pay for at the pharmacy (this is not included in your consultation fees). You'll need to attend six-monthly appointments to check your medication. This includes the measurement of pulse and blood pressure. Annual checks are also required.

Follow-up appointments

After the evaluation is completed after the assessment is completed, you can make follow-up appointments with your psychiatrist. Typically, the appointment will take place through a video call using zoom, although in certain cases it may be possible to have an audio-only consultation (again at an additional cost).

At this point, we will discuss any treatment options and agree upon a bespoke individualised ADHD medication titration strategy. This will include a review of your medication dosage as well as a discussion of any possible adverse effects you may be experiencing. These titration sessions cost PS150 for face-to-face sessions and PS60 via video or telephone consultation. The pharmacy will be charged for any medication costs.

The psychiatrist will ask questions about your family history as well as the effects of your ADHD symptoms on your daily life and any mental health issues you might be experiencing. ADHD is a genetic condition, which is why it's crucial to examine your family history in order to determine if you are at a higher chance of developing this condition.

During the assessment, it is vital to be truthful and open with the doctor, as they will use the information you provide to determine if you meet the diagnostic criteria for ADHD. This is a crucial part of the process, because if you don't do it, it could result in an inaccurate diagnosis, and thus an incorrect prescribing of medication.

If you've decided you'd like to receive treatment for your ADHD, we will then schedule a follow-up appointment with one of our psychiatrists who specialise in this field. This can be scheduled at the time of your diagnosis if are keen to begin treatment right away, or within two weeks if prefer to take time to think about the implications of your diagnosis and the alternatives available to you.

If you are unsure of what you would prefer, we suggest that you speak to your GP prior to booking your private appointment as certain providers have different rules regarding whether they require a GP referral letter or not. We also suggest to check if your GP accepts a "Shared-Care Agreement', which means that after you have been discharged from the clinic, you will be referred back to them for the prescription for the medication.

Medication

For many people who seek an individual diagnosis of ADHD medication is a key part of their journey. It can be difficult to get prescriptions from psychiatrists on the NHS. NHS waiting lists are notoriously long and GPs can be reluctant to refer patients on to specialist services.

One method to circumvent 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 the titration. This can help you to save time and also be more convenient, especially when you are on a tight work schedule.

Once you have been recommended by this method, your chosen clinician will examine you and decide whether or not you need to be adjusted on your medication. You will be asked to fill in forms that differ by doctor but the most important ones are self-report forms and medical histories from childhood and adulthood. These will help your clinician determine any issues that could mean you shouldn't take ADHD medications if they are prescribed.

If you are titrated on medication, this will usually 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 existing conditions you have. The titration process may be long and could require some additional appointments before you're stable on your dose.

The frequency of your follow-up appointments will depend on the type and amount of medication you're taking. They can be scheduled for monthly or quarterly. Your physician will make sure whether you are safe with the medication, record any adverse reactions you have experienced and make any needed adjustments to ensure that you remain on a dose that is safe. You'll also be required to attend a routine health check, which could include blood pressure readings, pulse and weight and an annual review.

Some people may be satisfied with their medication and don't require discussing their titration process further. If you're looking to discuss your titration plan or treatment plan in more detail it is likely that you'll be referred to the private clinic who performed your initial assessment. If this occurs, the titration consultation will be included in the consultation fee and they will receive their medication via private prescription (see Consultation fees above). It could cost more than an NHS prescription because the pharmacy will charge for the medication.