Private ADHD Titration
There is a current national shortage of medications that treat ADHD symptoms. This is due both to manufacturing problems and an increase in demand worldwide.
Our service offers private ADHD titration instead of waiting for NHS funding through Right to Choose. Our assessment fees cover the cost of a single prescription.
Titration
A highly experienced psychiatrist consultant will conduct a thorough assessment of your ADHD. This includes medical history and an assessment using the typical ADHD rating scales and questionnaires.
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After your examination After your assessment, you will be informed if medication would be beneficial for your specific situation. This will be discussed during your follow-up appointment (which could be in person via video link or via phone). Your clinician will discuss the various medication options available. If you decide to start medication, we will help you to titrate your dose to maximize the benefits/side effects balance for you.
This process could take a few weeks and requires adjusting your child's dosage gradually until the proper balance is achieved. It's not uncommon to need to adjust several times before determining the most effective one for your child's ADHD symptoms. It is important that parents take part in the titration and keep an eye out for their child's behavior so that they can inform the doctor if the medication is helping or causing adverse effects.
If you decide to return to NHS care, your medication will be given as an individual prescription that you'll have to pay for at the pharmacy (this is not included in your consultation fees). You must attend six-monthly appointments to monitor your medication. This includes blood pressure and pulse measurements. Annual reviews are also required.
Follow-up appointments
Once the assessment has been completed you will be able to make appointment with the psychiatrist as necessary. The appointment will usually be conducted through a zoom video call. In some cases, it may be possible for an audio-only appointment to be scheduled (again at an additional cost).
We will then go over treatment options and decide on an individualised, bespoke ADHD medication titration. This will include a discussion and review of your medication dose and any side effects you may be experiencing. The cost for these titration consultations 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 you questions regarding your family history and the impact of your ADHD symptoms on your life and any mental health issues that you might be experiencing. This is because ADHD can be a genetic condition and it is crucial to look into any family history that could indicate that you're at risk of developing the disorder.
It is important that you are honest and truthful to the doctor during the assessment, since the information they receive will be used to determine whether your ADHD is in line with the diagnostic criteria. This is a crucial step, as the wrong diagnosis can result in an inappropriate prescription of medication.
If you decide to seek treatment for ADHD we'll schedule an appointment for a follow-up visit with a psychiatrist that is skilled in this field. If https://www.iampsychiatry.uk/private-adult-adhd-titration/ 'd like to begin treatment immediately you can start treatment immediately following the diagnosis. Or you can wait two weeks to think about the implications of the diagnosis and what options you have.
If you aren't sure which one you prefer it is recommended that you speak with your GP before booking your private assessment as some providers have different policies regarding whether they require a GP referral letter or not. Make sure that your GP accepts a Shared Care Agreement, which means that you will be referred to them after you leave the clinic to get a medication prescription.
Medication
The medication process is an essential element of the process for many people looking for a private ADHD diagnosis. Getting an appointment with an NHS psychiatrist can be difficult and long-winded. NHS waiting lists can be extremely long, and GPs may be reluctant to refer patients to specialist services.
Requesting your GP to refer through Right to Choose is one way to avoid this (see psychiatry - UK and ADHD 360). You can select a provider that offers an assessment on your own and titration. This will help you reduce time and be more convenient, especially if you have a busy work schedule.
Once you've been referred, your clinician will evaluate you to determine if require medication titration. You'll have to fill out forms that differ by provider, but the most common ones are self-reporting questions and medical histories that go to your childhood and into adulthood. They will help your physician determine any issues that could mean you shouldn't take ADHD medication if prescribed.
If you are titrated on medication, this will usually include a mix of non-stimulant and stimulant medications. They will be carefully tested and monitored to determine the most effective combination for you, taking into consideration any medical conditions you may have. The process of titration can be lengthy and may need some additional appointments before you're stable on your dose.
Depending on the kind of medication you are taking, follow-up appointments can be scheduled either monthly or quarterly. Your physician will make sure whether you are safe with the medication, record any side effects that you've experienced, and make any needed adjustments to ensure that you remain on a dose that is safe. You will be required to attend an annual review as well as a regular health check-up that includes pulse, blood pressure and weight measurements.
Some people may be satisfied with their medication and don't have to discuss their titration process further. If you're looking to discuss your titration or treatment plan further it is possible that you will be referred back to the private doctor that performed your initial evaluation. In this case the titration will be included in the consultation fee. The medication will be administered via the private prescription. This could cost more than prescriptions from the NHS, as the pharmacy will charge for the medication.
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