Private ADHD Titration
There is a national shortage of medication to treat ADHD symptoms. This is due to manufacturing problems and a growing global demand.
Our service provides private ADHD adjustment 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 assessment of your ADHD. This includes a complete medical history and an evaluation using the common ADHD questionnaires and rating scales.
After your assessment, you will be informed if medication would be beneficial for your specific situation. This will take place at your follow up appointment (which could be in person by video link, in person or via phone). Your doctor will explain what medication options are available and, if you decide to start on medication we will suggest titrating the dose to maximize the benefits/side effects balance for you.
This process can take several weeks, and involves adjusting the dosage of your child's medication slowly until the right balance is reached. It's not uncommon to have to adjust up to three different medicines until you discover the one that is most suitable for your child's ADHD. It is important that parents take part in the titration process and be on the lookout for their child's behavior so that they can inform doctors whether the medication is helping or causing adverse effects.
If you decide to go back to NHS treatment you will be issued a private prescription for your medication. You will have to pay for your prescription at the pharmacy. This is not included in the consultation fee. You must attend six monthly appointments to monitor your medication, which includes pulse and blood pressure readings. Annual reviews are also required.
Follow-up appointments
Once the evaluation has been completed you will be able to schedule follow up appointments with the psychiatrist, as necessary. Typically, the appointment will take place via a zoom video call, although in certain cases it might be possible to do an audio only consultation (again at an additional cost).
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We will then go over treatment options and choose a bespoke, individualised ADHD medication titration. This will include an assessment of your medication dose and a discussion around any adverse effects you may be experiencing. The cost for these titration consultations is PS150 for face-to-face sessions and PS60 for online or telephone 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 impact of your ADHD symptoms on your life, and any relationship problems or mental health issues that you might be suffering from. ADHD can be a hereditary condition, and it's vital to look into your family's history in order to determine if you are at chance of developing this disorder.
During https://www.iampsychiatry.uk/private-adult-adhd-titration/ , it is crucial that you are honest and open with the doctor, as they will be using the information you provide to determine whether you meet the diagnostic criteria for ADHD. This is a vital step in the process since a failure to do so could lead to an inaccurate diagnosis and therefore inappropriate prescribing of medication.
If you've decided you would like to receive treatment for your ADHD We will set up a follow-up appointment with one of our psychiatrists that specialize in this area. This can be done in the wake of your diagnosis if are keen to begin treatment right away or within two weeks if prefer to take time to think about the implications of your diagnosis and the options that are available to you.
We recommend that if you are unsure of your preferences, you talk with your GP prior to scheduling your private appointment. Some providers have different policies regarding whether or not they require the submission of a GP letter. We also advise to confirm that your GP accepts a "Shared Care Agreement that means that once you are discharged from the clinic, you will be sent back to them to get the prescription for medication.
Medication
Medication is an integral aspect of the treatment process for many people seeking an official ADHD diagnosis. It can be difficult to get an appointment with a psychiatrist on the NHS. NHS waiting lists are notoriously long and GPs can be reluctant to refer patients to specialist services.
Requesting your GP to refer you to Right to Choose is one way to avoid this (see psychiatry - UK and ADHD 360). This means that you can select one that provides an assessment and titration. This can help you reduce time and be more convenient, particularly when you are on a tight work schedule.
If you are recommended by this method your chosen doctor will evaluate you and determine whether or not you're required to be monitored for a dose of medication. You'll need to complete forms that are different for each provider, but the most common ones are self-reporting forms and medical histories going to your childhood and into adulthood. These forms will assist your doctor to determine if there are reasons that suggest that you shouldn't be taking ADHD medications, in the event that they've been prescribed.
If you are titrated, the medication will consist of stimulants and nonstimulant medications. They will be carefully tested and monitored to find the best combination for you, taking into account any existing conditions you have. The titration can be lengthy and may require several extra appointments before you are stable.
Based on the type of medication you are taking, follow-up appointments can be scheduled either monthly or quarterly. Your physician will make sure whether you are stable on the medication, document any adverse reactions you've experienced, and make any necessary adjustments to ensure you remain on a safe dose. You will be required to attend an annual review and a routine health examination which includes blood pressure, pulse, and weight measurements.
Some people may be satisfied with their medication, and do not have to discuss their titration further. However, for those who require further discussion about their titration and treatment plan it's possible that they will be referred back to the same private clinic that made their initial assessment. In this instance the titration is included in the consultation cost. The medication will then be provided through an individual prescription. This can cost more than a prescription from the NHS because the pharmacy will charge for the medication.
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