Private ADHD Titration
There is currently a nationwide shortage of medication to treat ADHD symptoms. This is due to manufacturing issues and an increase in demand worldwide.
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Our service is private ADHD treatment instead of waiting for NHS funding via Right to Choose. Our assessment fees cover the cost of one prescription.
Titration
A thorough evaluation of your ADHD symptoms will be conducted with a highly experienced consultant Psychiatrist. This includes an examination of your medical history as well as an assessment using the standard ADHD rating scales and questionnaires.
After your assessment, you will be informed if medication would be beneficial for your particular situation. This will be discussed at your follow-up appointment (which can be scheduled in person, via video link or by telephone). Your physician will explain to you what medication options are available and, if you decide to begin taking medication, we will offer to titrate the dose to maximize the balance of benefits and side effects for you.
https://www.iampsychiatry.uk/private-adult-adhd-titration/ could take a few weeks and involves gradually adjusting your child's medication until the proper balance is achieved. It is not unusual to need to titrate several times before finding the one that is best for your child's ADHD symptoms. It's important for parents to be involved in this titration process, and keep an eye on their child's behavior to inform the doctor whether the medication is working or causing side effects.
If you decide to return to NHS care and have decided to return to NHS care, your medication will be provided with a prescription from a private pharmacy that you'll need to pay for at the pharmacy (this is not included in your consultation fees). You'll be required to attend regular appointments every six months to monitor your medication, which includes pulse and blood pressure readings. Annual reviews are also required.
Follow-up appointments
Once the assessment has been completed you will be able to book follow-up appointments with the psychiatrist, as necessary. Usually the appointment will take place on zoom video call however in some instances it might be possible to have an audio-only consultation (again at an additional cost).
We will then go over the options for treatment and then decide on an individualised, bespoke ADHD medication adjustment. This will include a review and discussion of your dosage of medication and any adverse effects you may be experiencing. The cost of these titration sessions is PS150 for face-to face sessions and PS60 for online or phone video consultations. Medication costs are additional and are paid directly to the pharmacy.
The psychiatrist will ask questions regarding your family history, the impact of your ADHD symptoms on your life and any relationship problems or mental health issues you may be experiencing. ADHD can be a hereditary condition, and it's vital to look into your family's history to determine if you're at chance of developing this condition.
It is important to be honest and transparent with your doctor during this assessment, as the information they gather will be used to determine if your ADHD fits the diagnostic criteria. This is a crucial step in the process since a failure to do so could result in an incorrect diagnosis and therefore inappropriate prescribing of medication.
If you've decided that you'd like to receive treatment for your ADHD We will schedule a follow-up appointment with one of our psychiatrists who specialize in this area. If you'd like to begin treatment right away you can start treatment at the time of diagnosis. Or you can wait two weeks to consider the implications of the diagnosis and your options.
If you aren't sure what you would prefer We suggest you talk with your GP before booking your private assessment as some providers have different policies about whether they require an GP referral letter or not. Check if your GP accepts the Shared Care Agreement, which means that you will be referred to them after you leave the clinic for prescription medication.
Medication
Medication is an integral part of the journey for many people seeking an official ADHD diagnosis. The process of getting an appointment with an NHS psychiatrist can be difficult and time-consuming. NHS waiting lists can be extremely long, and GPs may be reluctant to refer patients to specialist services.
Asking your GP to refer through Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). You can pick a provider who offers an assessment on your own and titration. This will cut down your waiting time considerably and can be more convenient if you're working and have a busy schedule.
After you have been diagnosed, your doctor will evaluate you to determine if you need medication titration. You'll have to complete forms that are different for each provider but the most frequent ones are self-reporting questionnaires and medical histories dating back to childhood and 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 on a titration medication, this will usually consist of stimulants and non-stimulant medications. They will be examined and monitored to determine the right combination for you. The titration process can be lengthy and may need several additional appointments before you're able to stay on your dosage.
Based on the type of medication you're taking, follow-up appointments can be scheduled either monthly or quarterly. This will involve your clinician checking to see if you are stable on the medication, recording any side effects you've experienced, and making any necessary adjustments to ensure you are on a dose that is safe. You will also be required to attend a routine health check which can include blood pressure and pulse readings, as well as weight and weight measurements as well as an annual check-up.
For some it could be that they are content with their medication and don't need a further discussion about their titration. If, however, they require further discussion about the titration process and treatment plan, it's possible that they will be passed back to the private clinic that conducted their initial assessment. In this case the titration will be included in the consultation cost. The medication will be administered via the private prescription. This can cost more than an NHS prescription because the pharmacy will charge for the medication.
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