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Private ADHD Titration
There is a current national shortage of medications that treat ADHD symptoms. This is due to manufacturing issues and a growing global demand.
Our service offers private ADHD treatment instead of waiting for NHS funding via Right to Choose. Our assessments cost include the cost of one prescription.
Titration
A highly experienced psychiatrist consultant will conduct a thorough evaluation of your ADHD. This includes a thorough medical history, and an evaluation using the standard ADHD questionnaires and rating scales.
After your evaluation, you will be informed that medication may be beneficial for your situation. This will be discussed during your follow-up appointment (which can be scheduled in person via video link or via phone). Your clinician will explain 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 could take a few weeks and requires adjusting your child's dosage slowly until the right balance is achieved. It's not uncommon to to titrate as high as three different medicines before you can find the one that is most suitable for your child's adhd medication titration. It is essential for parents to participate in this titration process, and keep an eye on their child's behavior, so that they can let the doctor know whether the medication 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 be required to pay the pharmacy. This is not included in the consultation fee. You'll 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
After the assessment is completed, you will be able to book appointment with the psychiatrist, as necessary. Typically, the appointment will take place through a video call using zoom, although in certain cases it is possible to do an audio-only consultation (again at an extra cost).
We will then discuss treatment options and decide on a bespoke, individualised ADHD medication adjustment. This will include a review of your medication dosage and a discussion of any possible adverse effects you may be experiencing. These titration sessions cost PS150 for face-toface sessions and PS60 via video or telephone consultation. The pharmacy will be charged for any charges for medication.
The psychiatrist will ask questions regarding your family history as well as the impact of your ADHD symptoms on your life and any relationship problems or mental health issues that you might be experiencing. This is because ADHD is a genetic condition and it is important to look into any family history that may indicate that you're at risk of developing the disorder.
It is crucial that you are honest and truthful with the clinician during the assessment, since the information they get will be used to determine whether your ADHD meets the diagnostic criteria. This is an essential part of the process, as failing to do so could result in an inaccurate diagnosis and consequently an inappropriate prescription of medication.
If you've decided you'd like to receive treatment for your ADHD We will arrange a follow up appointment with one of our psychiatrists who specialize in this area. This can be scheduled at the time of your diagnosis if are keen to begin treatment immediately or within two weeks if prefer to take time to think about the implications of your diagnosis and the alternatives that are available to you.
If you aren't sure which one you prefer it is recommended that you talk to your GP prior to scheduling your private appointment as certain providers have different policies regarding whether they require an GP referral letter or not. Find out if your GP accepts the Shared Care Agreement, which means that you will be referred to them after you leave the clinic to get a prescription medication.
Medication
The medication process is an essential aspect of the treatment process for many people who are looking for an official ADHD diagnosis. Finding a prescription from an NHS psychiatrist can be a hassle and time-consuming. NHS waiting lists can be notoriously long and GPs may be reluctant to refer their patients to specialist services.
One method to avoid this is to ask your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). This means that you can choose an organization that offers an assessment and titration for adhd. This can cut down on wait time by a significant amount and is more convenient if you're working and have a hectic schedule.
Once you have been referred through this route, your chosen clinician will assess you and decide whether or not you're required to be adjusted on your medication. You will need to complete forms that vary by doctor but the most frequent ones are self-reporting questions and medical histories dating back to childhood and adulthood. They will help your physician identify any conditions that could suggest you should not take ADHD medication if prescribed.
If you are being titrated the medication will consist of stimulants and nonstimulant medications. The combination will be carefully tested and monitored to determine the best combination for you, taking into consideration any existing conditions you have. The process of titration adhd medications can be lengthy and may require several additional appointments before you're stable on your dose.
Based on the type of medication you are taking, follow up appointments could be scheduled monthly or quarterly. This will involve your clinician checking that you are taking the correct medication, recording any side effects you've experienced, and making any necessary adjustments to ensure that you're on a dose that is safe. You will also be required to undergo a regular health check, which could include blood pressure, pulse and weight readings and an annual check-up.
For some people it could be that they are happy with their medication and don't require any further discussion on their titration. If you're looking to discuss your titration plan or treatment plan more thoroughly, it is possible that you will be referred to the private clinic that performed your initial evaluation. In this scenario the titration is included in the consultation fee. The medication will then be provided through an individual prescription. This could cost more than a prescription from the NHS, as the pharmacy will charge you for the medication.