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Private ADHD Titration
There is currently a nationwide shortage of medication to treat ADHD symptoms. This is due to manufacturing issues and a growing global demand.
Our service is private ADHD adjustment instead of waiting for NHS funding via Right to Choose. Our assessments are free and include the cost of one prescription.
Titration
A thorough assessment of your ADHD symptoms will be conducted with a highly experienced consultant psychiatrist. This includes a complete medical history, as well as an assessment using the standard ADHD questionnaires and rating scales.
After your examination, you will be informed that medication may be beneficial in your case. This will be discussed during your follow-up appointment (which can be scheduled in person via video link or via phone). Your clinician will discuss the different options for medication available. If you decide to begin medication, we will help you the opportunity to increase your dosage to maximize the benefits/side effects balance for you.
This process may take several weeks. It involves adjusting the dosage of your child's medication gradually until the appropriate balance is reached. It's not uncommon to have to titrate up to three different medications before you find the one that is most suitable for your child's ADHD. It is important that parents participate in the titration process adhd and be aware of their child's behavior, so they can let the doctors know whether the medication is working or causing adverse reactions.
If you do not decide to return to NHS treatment the medication you take will be provided with an individual prescription that you'll have to pay for at the pharmacy (this is not included in the consultation fee). You will need to keep up with your appointments every six months to monitor your medication. This includes blood pressure and pulse measurements. Annual reviews are also required.
Follow-up appointments
Once the assessment is completed, you can schedule appointment with the psychiatrist. Typically, the appointment will take place through a video call using zoom but in certain circumstances it might be possible to do an audio-only consultation (again at an additional cost).
In this session, we'll discuss treatment options and come up with a unique ADHD medication titration program. This will include a review and discussion of your medication dose and any side effects you may be experiencing. The cost of these titration appointments is PS150 for face-to-face sessions and PS60 for telephone or online video consultations. The pharmacy will be charged for any charges for medication.
The psychiatrist will ask questions regarding your family history and the impact of your ADHD symptoms on your life, and any relationship problems or mental health issues that you may be experiencing. ADHD is a genetic condition, which is why it's crucial to look into your family's history in order to determine if you are at a greater chance of developing this disorder.
It is crucial that you are honest and transparent to the doctor during this assessment, as the information they receive will be used to determine if your ADHD meets the diagnostic criteria. This is a crucial step in the process, because if you don't do it, it could lead to an inaccurate diagnosis, and thus an incorrect prescribing of medication.
If you decide to be treated for ADHD we'll schedule a follow-up appointment with a psychiatrist that is skilled 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 consider the implications of your diagnosis and the options available to you.
If you aren't sure what is adhd titration you would prefer, we suggest that you talk with your GP prior to booking your private examination as some providers have different rules regarding whether they require an GP referral letter or not. We also advise to check if your GP accepts a "Shared Care Agreement which means that once discharged from the clinic, you will be returned to them for the medication prescription.
Medication
For many people who want an official diagnosis of ADHD medication is a key element of their treatment. It can be difficult to get a prescription from a psychiatrist on the NHS. NHS waiting lists can be extremely how long does adhd titration take, and GPs might be reluctant to refer patients to specialist services.
Asking your GP to refer you to Right to Choose is one way to avoid this (see psychiatry - UK and ADHD 360). You can choose a service who offers a private assessment service and the titration. This will help you reduce time and be more convenient, particularly in the event of a hectic schedule.
After you've been identified as a candidate for this treatment your chosen doctor will examine you and decide whether or not you're required to be monitored for a dose of medication. You will be asked to fill in forms that vary by provider but the main ones are self-report questionnaires as well as medical histories from childhood to adulthood. These will help your clinician identify any factors that might indicate that you shouldn't be taking ADHD medications if they are prescribed.
If you are titrated, the medication will consist of a mixture of stimulants and nonstimulant medications. These will be carefully trialled and monitored to find the most effective combination for you, taking into account any current conditions you suffer from. The process of titration can be lengthy and may need several additional appointments before you are stable on your dosage.
Depending on the type of medication you're taking, follow up appointments could be scheduled monthly or quarterly. The appointment will involve your doctor checking that you are taking the correct medication, noting any adverse effects you've experienced and making any adjustments needed to ensure that you remain on a dose that is safe. You are required to attend an annual review as well as a regular health check-up that includes blood pressure, pulse, and weight measurements.
Some people may be satisfied with their medication and therefore do not have to discuss their titration process further. If you need to discuss your titration plan or treatment plan further it is possible that you'll be sent back to the private adhd medication titration doctor that performed your initial evaluation. If this happens, the titration appointment will be included in their consultation fees and they will receive their medication on private prescription (see Consultation fees above). This could cost more than an NHS prescription as the pharmacy will charge for the medication.