Private ADHD Titration
There is currently a national shortage of medication to treat ADHD symptoms. This is due to manufacturing problems and increased 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 consultant psychiatrist will conduct a thorough assessment of your ADHD. This includes a complete medical history, and an assessment using the common ADHD questionnaires and rating scales.
After your examination, you will be informed whether medication is appropriate for your particular situation. This will take place at your follow-up appointment (which can be scheduled in person by video link, in person or by phone). Your clinician will discuss the various medication options available. If you decide to start taking medication, we can help you the opportunity to increase your dosage to ensure the best balance of benefits and side effects for you.
This process can take several weeks and it involves gradually altering your child's dosage until the proper balance is reached. It's not uncommon to have to titrate up to three different medications before you find the one that best suits your child's ADHD. It's important for parents to take part in this process of titration, and keep an eye on their child's behaviour, so that they can let the doctor know whether the medication is helping or causing side effects.
Unless you have decided to return to NHS treatment, your medication will be given as a private prescription which 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. This includes blood pressure and pulse readings. Annual reviews are also required.
Follow-up appointments
Once the assessment has been completed, you will be able to schedule appointment with the psychiatrist as appropriate. The appointment usually takes place via a zoom video call but in certain circumstances it might be possible to schedule an audio-only consultation (again at an additional cost).
In this session, we'll discuss treatment options and agree upon a bespoke individualised ADHD medication titration plan. This will include a review of your medication dosage and a discussion around any negative side effects you may be experiencing. The cost for these titration appointments is PS150 for face-to-face sessions and PS60 for telephone or online video consultations. Medication costs are additional and are paid directly to the pharmacy.
The psychiatrist will ask you questions regarding your family history as well as the effects of your ADHD symptoms on your life and any mental health issues you may be experiencing. This is due to the fact that ADHD can be a genetic disorder and it is important to look into any family history that may suggest that you are at risk of developing the disorder.
During this assessment it is crucial that you are honest and honest with the clinician who will be using the information you provide to determine if you meet the diagnostic criteria for ADHD. This is an important step, since the wrong diagnosis can result in an inappropriate prescription of medication.
If https://www.iampsychiatry.uk/private-adult-adhd-titration/ 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 within the first few days of your diagnosis if are eager to begin treatment immediately, or within two weeks if would like more time to think about the implications of your diagnosis and the possibilities that are available to you.
If you are unsure of which one you prefer, we suggest that you talk with your GP prior to booking your private assessment as some providers have different policies regarding whether they require the submission of a GP referral letter or not. Check if your GP accepts a Shared Care Agreement, which means that you will be referred to them once you leave the clinic for medication prescription.
Medication
For many people who seek a private diagnosis of ADHD, medication is a crucial aspect of their journey. It isn't always easy to obtain an appointment with a psychiatrist on the NHS. NHS waiting lists are notoriously long and GPs may be reluctant to refer patients on to specialist services.
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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 provides a private assessment service and the titration. This can cut down on wait time by a significant amount and is more convenient if you are working and have a full schedule.
After you've been referred through this route the doctor you choose will assess you and decide whether or not you require to be monitored for a dose of medication. You'll have to complete forms that vary by doctor however the most commonly used ones are self-reporting questionnaires and medical histories that go to your childhood and into adulthood. These forms will assist your doctor identify any factors that might suggest you should not take ADHD medications if they are prescribed.
If you are titrated, the medication will be a combination stimulants and nonstimulant medications. They will be tested and monitored to find the right combination for you. The titration procedure can be lengthy and may require several extra appointments before you are stable.
Based on the type of medication you're taking, follow-up appointments will be either monthly or quarterly. The appointment will involve your doctor checking to see if you are stable on the medication, recording 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 health check-up and routine health examination which includes pulse, blood pressure, and weight measurements.
For some people, it may be that they are satisfied with their medication and don't require any further discussion on their titration. If you need to discuss your titration or treatment plan in more detail it is likely that you'll be referred back to the private doctor that performed your initial evaluation. If this occurs, the titration appointment will be included in their consultation fee, and they will receive their medication through private prescription (see Consultation fees above). This could cost more than an NHS prescription because the pharmacy will charge for the medication.
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