Private ADHD Titration
There is currently a nationwide shortage of medication to treat ADHD symptoms. This is due both to manufacturing issues and an increase in demand worldwide.
Our service can offer private ADHD testing as an alternative to waiting for NHS funding through Right to Choose. Our assessments cost 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 and an assessment using the standard ADHD questionnaires and rating scales.
After your evaluation You will be advised whether medication is appropriate for your particular situation. This will be discussed during your follow-up appointment (which could be in person, via video link, or over the phone). Your doctor will explain what medication options are available 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 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 medicines before you find the one that is most suitable for your child's ADHD. It is crucial that parents are involved in the titration and be aware of their child's behavior so they can inform doctors if the medication is helping or causing adverse reactions.
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 fee. You must keep up with your appointments every six months to monitor your medications. This includes the measurement of pulse and blood pressure. Annual checks are also required.
Follow-up appointments
After the evaluation is completed, you can schedule follow-up appointments with the psychiatrist. Usually 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 we have 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 side effects you might be experiencing. The titration sessions cost PS150 for face-to-face sessions, and PS60 via video or telephone consultation. Medication costs are additional and are paid directly to the pharmacy.
The psychiatrist will also inquire with you about your family history and the impact that your ADHD symptoms have on your life, including any issues with your relationships that you may be facing or any other mental health issues you might be experiencing. This is due to the fact that ADHD can be a genetic disorder and it is crucial that we assess any family history that may indicate whether you are at risk of developing the disorder.
It is crucial that you are honest and truthful with the clinician during this assessment, as the information they get will be used to determine whether your ADHD is in line with the diagnostic criteria. This is a crucial step, as a wrong diagnosis could result in an inappropriate prescription of medication.
If you have decided that you would like to receive treatment for your ADHD We will schedule a follow-up appointment with one of our psychiatrists who specialize in this area. This can be scheduled in the wake of your diagnosis if you want to start treatment right away or within two weeks if you want to think about the implications of your diagnosis and the possibilities that are available to you.
We suggest that if are unsure about your preferences, you talk with your GP prior to scheduling your private examination. Some providers have different policies on whether or not they require the submission of a GP letter. Find out if your GP accepts a Shared Care Agreement, which means you will be referred to them when you leave the clinic to get a medication prescription.
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Medication
For many people who want a private diagnosis of ADHD, medication is a crucial part of their journey. Finding prescriptions from an NHS psychiatrist can be a hassle and long-winded. NHS waiting lists are notoriously long and GPs may be reluctant to refer patients on to specialist services.
One way to get around this is to ask your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). You can choose a service that offers an assessment on your own and titration. This will cut down your waiting time considerably and can be more convenient if you are working and have a full schedule.
After you've been recommended by this method the doctor you choose will assess you and decide whether or not you require to be monitored for a dose of medication. You will be asked to fill out forms that differ by doctor but the most important ones are self-report forms and medical histories from childhood and adulthood. These forms will assist your doctor identify any factors that might suggest you should not take ADHD medications if they're prescribed.
If you are on a titration medication, it will typically consist of non-stimulant and stimulant medications. The combination will be carefully tested and monitored to determine the best combination for you, taking into consideration any medical conditions you may have. https://www.iampsychiatry.uk/private-adult-adhd-titration/ can be long and may require several extra appointments before your dose is stable.
Based on the type of medication you're taking, follow up appointments can be scheduled either monthly or quarterly. This will include your physician checking to see if you are taking the correct medication, logging any side effects you have had 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 pulse, blood pressure and weight measurements.
Some patients may be content with their medication and do not require discussing their titration further. For those who require further discussions regarding their titration and treatment plans, it's possible that they will be passed back to the private clinic that conducted their initial assessment. In this scenario the titration will be included in the consultation fee. The medication will be administered via the private prescription. This can cost more than prescriptions from the NHS because the pharmacy will charge for the medication.
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