Private ADHD Titration
There is currently a nationwide shortage of medications to treat ADHD symptoms. This is due to manufacturing problems and an increased global demand.
Our service provides private ADHD titration instead of waiting for NHS funding through Right to Choose. Our assessments are free and include the cost of one prescription.
Titration
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A highly skilled consultant psychiatrist will conduct a thorough evaluation of your ADHD. This includes a complete medical history, as well as an evaluation using the standard ADHD questionnaires and rating scales.
After your evaluation After your assessment, you will be informed whether medication is appropriate for your situation. This will take place during your follow-up appointment (which can be done in person by video link, in person or by telephone). 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, and involves adjusting your child's medication gradually until the appropriate balance is reached. It is not uncommon to have to titrate up to three different medications until you discover the one that best suits your child's ADHD. Parents must participate in this titration process and keep an eye on their child's behavior to let the doctor know whether the medication is working or causing adverse effects.
If you do not decide to return to NHS treatment the medication you take will be given as a prescription from a private pharmacy that you will need to pay for at the pharmacy (this is not included in the consultation fee). You'll be required to attend every six months to check your medication, which includes blood pressure and pulse readings. Annual reviews are also required.
Follow-up appointments
Once the assessment is completed and you are satisfied, you can schedule follow-up appointments with the psychiatrist. https://www.iampsychiatry.uk/private-adult-adhd-titration/ takes place through a video call using zoom but in certain circumstances it may be possible to do an audio-only consultation (again at an extra cost).
At this point, we will discuss treatment options and decide on a custom-made ADHD medication titration strategy. This will include an assessment of your medication dosage as well as an examination of any side effects you might be experiencing. The titration sessions cost PS150 for face-to-face sessions and PS60 via video or telephone consultation. Costs for medication are extra and are paid directly to the pharmacy.
The psychiatrist will also inquire with you about your family background and the impact your ADHD symptoms have on your life, as well as any issues with relationships you may be facing or any other mental health problems that you may be suffering from. This is because ADHD is a genetic disorder and it is crucial to look into any family history that might suggest that you are at risk of developing the disorder.
It is important to be honest and truthful with your doctor during this assessment, as the information they gather will be used to determine if your ADHD meets the diagnostic criteria. This is an essential part of the process, since a failure to do so could lead to 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 set up a follow-up appointment with one of our psychiatrists who specialize in this area. This can be done at the time of your diagnosis if you want to start treatment right away or within two weeks if want to think about the implications of your diagnosis and the alternatives that are available to you.
We recommend that if you are unsure about your preferences, you talk with your GP prior to booking your private examination. Certain providers have different guidelines regarding whether or not they require 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 for prescriptions for medication.
Medication
For many who wish to obtain an official diagnosis of ADHD, medication is an important part of their journey. Getting an appointment with an NHS psychiatrist can be a hassle and long-winded. NHS waiting lists are notoriously long, and GPs can be reluctant to refer patients to specialist services.
One method to avoid this is to request your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). This means that you can select one that provides an assessment and titration. This can help you to save time and also be more convenient, especially in the event of a hectic work schedule.
Once you have been referred through this route your chosen doctor will evaluate you and determine whether or not you're required to be adjusted on your medication. You'll need to complete forms that are different for each provider but the most frequent ones are self-reporting forms and medical histories dating back to childhood and adulthood. These forms will assist your doctor to determine if there are circumstances that indicate you shouldn't take ADHD medications, in the event that they've been prescribed.
If you are being titrated on medication, it is likely to consist of non-stimulant and stimulant medications. They 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 can be lengthy and may require several additional appointments before you're able to stay on your dose.
Based on the type of medication you are taking, follow-up appointments will be either monthly or quarterly. Your doctor will ensure whether you are safe with the medication, document any side effects you've experienced and make any needed adjustments to ensure that you remain on a dose that is safe. You'll also have to attend a routine health check which can include blood pressure readings, pulse and weight as well as an annual check-up.
Some people may be satisfied with their medication, and do not need to discuss their titration in more detail. However, for those who require further discussions regarding their titration and treatment plan it's possible that they will be passed back to the same private clinic that performed their initial assessment. In this scenario the titration will be included in the consultation cost. The medication will be provided through the private prescription. It could cost more than an NHS prescription because the pharmacy will charge for the medication.
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