Private
adhd titration private titration meaning adhdThere is currently a nationwide shortage of medications to treat ADHD symptoms. This is due to manufacturing issues and increased global demand.
Our service can provide private ADHD treatment as an alternative to 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 conducted with an experienced consultant Psychiatrist. This will include an examination of your medical history as well as an assessment using the typical ADHD rating scales and questionnaires.
Following your assessment you will be informed that medication may be beneficial in your particular situation. This will happen at your follow-up appointment (which can be scheduled in person via video link or by telephone). Your doctor will go over the different options for medication available. If you decide to start medication, we will offer you to titrate your dose to ensure the best balance of benefits and side effects for you.
This process can take several weeks, and involves gradually adjusting your child's dosage until the proper balance has been achieved. It is not unusual to need to titrate several times before finding the best one for your child's ADHD symptoms. It is crucial that parents are involved in the titration process and be on the lookout for their child's behavior so that they can inform the doctor whether the medication is working or causing adverse effects.
If you decide to go back to NHS treatment you will be issued an individual prescription for your medication. You will be required to pay at the pharmacy. This is not included in the consultation cost. You must keep up with your appointments every six months to monitor your medications. This includes pulse and blood pressure measurements. Annual reviews are also mandatory.
Follow-up appointments
Once the assessment has been completed, you'll be able to make follow up appointments with your psychiatrist, if appropriate. Typically, the appointment will take place on zoom video call, although in certain cases it might be possible to do an audio-only consultation (again at an extra cost).
At this point we will discuss any treatment options we have and come up with a unique
ADHD medication titration strategy. This will include a review of your medication dosage and an examination of any negative side effects you may be experiencing. These
titration period adhd sessions cost PS150 for face-to-face sessions, and PS60 via telephone or video consultation. The pharmacy will be charged for any medication costs.
The psychiatrist will ask you questions about your family history and the impact of your ADHD symptoms on your life and any mental health issues you might be suffering from. ADHD can be a genetic condition, which is why it's crucial to assess your family history to determine if you are at a higher chance of developing this disorder.
It is essential to be honest and transparent with your doctor during the assessment, since the information they receive will be used to determine whether your ADHD fits the diagnostic criteria. This is an essential step in the process, because if you don't do it, it could result in an incorrect diagnosis, and thus an incorrect prescribing of medication.
If you've decided that you'd like to be treated for your ADHD, we will then set up a follow-up appointment with one of our psychiatrists who specialize in this area. If you want to start treatment right away you can start treatment immediately following the diagnosis. You can also take two weeks to consider the implications of the diagnosis and your options.
If you are unsure of which one you prefer it is recommended that you talk to your GP before booking your private appointment as certain providers have different rules regarding whether they require a GP referral letter or not. We also suggest to check if your GP accepts a "Shared-Care Agreement that means that once you are discharged from the clinic, you will be referred back to them for the prescription for medication.
Medication
Medication is an integral part of the journey for many people who are looking for an official ADHD diagnosis. The process of getting prescriptions from an NHS psychiatrist can be a hassle and long-winded. NHS waiting lists are notoriously long and GPs are often reluctant to refer patients to specialist services.
One way to get around this is to request your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). You can pick a provider that provides a private assessment service and the titration. This will help you to save time and also be more convenient, especially in the event of a hectic work schedule.
Once you've been diagnosed, your doctor will assess you to determine if require medication titration. You'll have to fill out forms that vary by doctor but the most frequent ones are self-reporting questionnaires and medical histories going to your childhood and into adulthood. These forms will allow 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 being titrated the medication will consist of a mixture of stimulants and non-stimulant drugs. These will be thoroughly assessed and monitored to determine the best combination for you. The titration process can be a lengthy process and may require several extra appointments before your dose is stable.
Depending on the kind of medication you're taking, follow up appointments could be scheduled monthly or quarterly. Your clinician will check that you are stable with the medication, note any side effects that you've experienced, and make any necessary adjustments to ensure you remain on a safe dosage. You'll also have to undergo a regular health check that may include blood pressure, pulse and weight readings as well as an annual check-up.
Some patients may be content with their medication, and don't need to discuss their titration further. If you need to discuss your titration plan or treatment plan in more detail it is possible that you'll be sent back to the private doctor who made your initial assessment. If this happens, the titration appointment will be part of their consultation fee and they will be given their medication through an individual prescription (see Consultation fees above). This could cost more than a prescription from the NHS since the pharmacy will charge for the medication.
