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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 as well as an increased global demand.

Royal_College_of_Psychiatrists_logo.pngOur service is able to provide private ADHD testing as an alternative to waiting for NHS funding through Right to Choose. Our assessments are free and include the cost of one prescription.

Titration

A highly skilled consultant psychiatrist will conduct a thorough assessment of your ADHD. This includes medical history and an assessment using the typical ADHD rating scales and questionnaires.

After your assessment You will be advised if medication would be beneficial for your situation. This will be discussed during your follow-up appointment (which could be in person, via video link, or over the phone). Your physician will explain to you the various options for medication and if you decide 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 may take several weeks. It requires adjusting your child's dosage gradually until the proper balance is achieved. It is not uncommon to to titrate up to three different medications until you discover the one that best suits your child's ADHD. It is important that parents take part in the titration process and be on the lookout for their child's behavior so they can let the doctors know if the medication is helping or causing adverse effects.

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

Follow-up appointments

Once the assessment has been completed, you will be able to schedule follow up appointments with the psychiatrist as appropriate. The appointment usually takes place through a video call using zoom but in certain circumstances it might be possible to do an audio only consultation (again at an extra cost).

At this point we will discuss any treatment options we have and come up with a unique ADHD medication titration plan. This will include a review of your medication dose and a discussion around any side effects you might be experiencing. These titration sessions cost PS150 for face-to-face sessions, and PS60 via telephone or video consultation. The pharmacy will charge you for any charges for medication.

The doctor will also ask you about your family background and the impact your ADHD symptoms impact your life, including any issues with relationships you may be facing or any other mental health problems that you may be experiencing. This is due to the fact that ADHD is a genetic disorder and it is crucial to examine any family history that might suggest that you are at risk of developing the disorder.

During this assessment it is vital that you are truthful and honest with your doctor, as they will be using the information you provide to determine if you are able to meet the diagnostic criteria for ADHD. This is a vital step in the process as failing to do so could lead to an inaccurate diagnosis and therefore inappropriate prescribing of medication.

If you have decided that you'd like to be treated for your ADHD We will arrange a follow up appointment with one of our psychiatrists who specialise in this area. This can be scheduled in the wake of your diagnosis if want to start treatment immediately or within two weeks if would like more time to consider the implications of your diagnosis and the options that are available to you.

We recommend that if you are unsure of your preferences, you talk with your GP prior to booking your private assessment. Some providers have different policies regarding whether or not they require a GP letter. We also recommend to check if your GP accepts a "Shared-Care Agreement', which means that once you are discharged from the clinic you will be returned to them for the prescription for medication.

Medication

For many people who want an individual diagnosis of ADHD treatment is a crucial element of their treatment. It isn't easy to obtain a prescription from a psychiatrist on the NHS. NHS waiting lists can be notoriously long, and GPs may be reluctant to refer their patients to specialist services.

Inquiring your GP to refer you to Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). You can select a provider that offers an assessment on your own and the titration process adhd. This can cut down on wait time by a significant amount and is more convenient if you're working and have a busy schedule.

After you have been diagnosed, your doctor will evaluate you to determine if require medication titration. You will be asked to fill in forms that vary by provider but the most common ones are self-report questionnaires as well as medical histories from childhood and adulthood. These forms will allow your doctor to determine if there are reasons that suggest you shouldn't take adhd medication titration medication, even if they have been prescribed.

If you are being titrated, the medication will consist of stimulants and non-stimulant drugs. These will be carefully trialled and monitored to determine the most effective combination for you, taking into account any existing conditions you have. The titration process may be lengthy and may need some additional appointments before you are stable on your dose.

The frequency of your follow-up appointments will depend on the type and amount of medication you are taking. They can be scheduled for monthly or quarterly. Your physician will make sure that you are stable with the medication, record any adverse reactions you've experienced, and make any necessary adjustments to ensure that you remain on a dose that is safe. You will also be required to undergo a regular health check which can include blood pressure, pulse and weight readings as well as an annual check-up.

Some patients may be content with their medication, and therefore do not have to discuss their titration process further. If you're required to discuss your titration or treatment plan further, it is possible that you'll be sent to the private clinic who made your initial assessment. If this happens, the titration adhd appointment will be included in their consultation fees and they will receive their medication via a private prescription (see Consultation fees above). This can cost more than a prescription from the NHS since the pharmacy will charge you for the medication.

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