Private ADHD Titration
There is currently a national shortage of medication that helps to treat ADHD symptoms. This is due to manufacturing problems and increased global demand.
Our service provides private ADHD adjustment instead of waiting for NHS funding through Right to Choose. Our assessment fees include the cost of a single prescription.
Titration
A thorough evaluation of your ADHD symptoms will be carried out by an experienced consultant Psychiatrist. This includes a medical history and an assessment using the standard ADHD rating scales and questionnaires.
Following your assessment you will be informed that medication may be beneficial for your situation. This will happen at your follow up appointment (which can be scheduled in person, via video link or via phone). Your physician will go over the various medication options available. If you decide to start medication, we will help you to titrate your dose to optimize the benefits/side-effects balance for you.
This process could take a few weeks. It involves adjusting the dosage of your child's medication slowly until the right balance is achieved. It is not unusual to have to titrate two or three medicines before finding the best one for your child's ADHD symptoms. It's important for parents to take part in this process of titration and keep an watchful eye on their child's behavior so that they can let the doctor know if the medicine is helping or causing side effects.
If you decide to return to NHS treatment you will receive a private prescription for your medication. You will have to pay the pharmacy. This is not included in the consultation cost. You will be required to attend regular appointments every six months to monitor your medication, which includes blood pressure and pulse readings. Annual reviews are also required.
Follow-up appointments
After the evaluation is completed after the assessment is completed, you can make follow-up appointments with your psychiatrist. The appointment is usually done via zoom video call. However, in certain instances, it could be possible to have an audio-only consultation to be scheduled (again with an additional cost).
At this point, we will discuss treatment options and come up with a unique
ADHD medication titration plan. This will include a discussion and review of your dosage of medication and any side effects you might be experiencing. The titration sessions cost PS150 for face-to-face sessions, and PS60 via video or telephone consultation. The pharmacy will charge you for any medication costs.
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 your relationships that you may be having or other mental health issues you might be experiencing. ADHD is a genetic condition, so it's important to examine your family history to determine if you are at chance of developing this disorder.
During this assessment it is crucial that you are truthful and honest with your doctor who will be using the information you provide to determine whether you are able to meet the diagnostic criteria for ADHD. This is a crucial step, as a wrong diagnosis could lead to inappropriate medication prescription.
If you decide to seek treatment for ADHD we'll schedule a follow-up appointment with a psychiatrist who specializes in this area. This can be done in the wake of your diagnosis if are eager to begin treatment immediately or within two weeks if you want to think about the implications of your diagnosis and the alternatives available to you.
If you aren't sure which one you prefer We suggest you speak with your GP prior to booking your private examination as some providers have different policies about whether they require the submission of a GP referral letter or not. Find out if your GP accepts the Shared Care Agreement, which means you will be referred to them when you leave the clinic to get a prescriptions for medication.
Medication
For many people who seek an individual diagnosis of ADHD medication is an important element of their treatment. Finding a prescription from an NHS psychiatrist can be difficult and lengthy. NHS waiting lists are notoriously long and GPs are often reluctant to refer patients on to specialist services.
One way to get around this is to ask 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 service. This will help you save time and be more convenient, particularly when you are on a tight schedule.
Once you have been identified as a candidate for this treatment, your chosen clinician will examine you and decide whether or not you require to be adjusted on your medication. You will need to complete forms that vary by doctor but the most frequent ones are self-reporting questionnaires and medical histories that go to your childhood and into adulthood. These forms will allow your doctor to determine if there are any circumstances that indicate you shouldn't be taking ADHD medications, in the event that they've been prescribed.
If you are on a titration medication, this will usually be a combination of non-stimulant and stimulant medications. The combination will be carefully tested and monitored to determine the most effective combination for you, taking into consideration any current conditions you suffer from. The
titration adhd procedure can be long and may require multiple appointments before the dose becomes stable.
Based on the type of medication you're taking, follow up appointments can be scheduled either monthly or quarterly. Your physician will make sure that you are stable with the medication, record any side effects you've experienced and make any necessary adjustments to ensure that you remain on a safe dose. You'll also have to undergo a regular health check, which could include blood pressure, pulse and weight readings as well as an annual review.
For some individuals, it may be that they are satisfied with their medication and don't require an additional discussion regarding their titration. If you need to discuss your titration or treatment plan more thoroughly it is likely that you will be referred back to the private doctor who made your initial assessment. In this scenario the titration is included in the consultation fee. The medication will be given via the private prescription. This could cost more than an NHS prescription since the pharmacy will charge for the medication.