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Private ADHD Titration
There is currently a nationwide shortage of medications to treat ADHD symptoms. This is due to manufacturing issues and a growing global demand.
Our service is private ADHD adjustment instead of waiting for NHS funding through Right to Choose. Our assessment fees cover the cost of one prescription.
Titration
A comprehensive assessment of your ADHD symptoms will be conducted by an experienced consultant Psychiatrist. This includes a thorough medical history, and an assessment using the typical ADHD questionnaires and rating scales.
After your assessment After your assessment, you will be informed if medication would be beneficial for your situation. This will happen at your follow up appointment (which can be done in person via video link or via phone). Your doctor will explain what medication options are available and if you decide to start on medication we will recommend titrating the dose to maximize the benefits/side effects balance for you.
This process may take several weeks. It involves adjusting your child's medication slowly until the right balance is achieved. It's not uncommon to have to titrate three or four medications before determining the most effective one for your child's ADHD symptoms. It is important that parents participate in the titration and be aware of their child's behavior, so they can inform doctors if the medication is helping or causing adverse effects.
If you decide to go back to NHS treatment, you will receive 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 check your medications. This includes blood pressure and pulse measurements. Annual reviews are also required.
Follow-up appointments
After the evaluation is completed, you can schedule follow-up appointments with your psychiatrist. Usually the appointment will take place through a video call using zoom however in some instances it may be possible to do an audio only consultation (again at an additional cost).
At this point, we will discuss any treatment options we have and decide on a custom-made ADHD medication titration plan. This will include a review of your medication dosage and an examination of any side effects you might be experiencing. The cost for these titration adhd medication consultations is PS150 for face-to-face sessions and PS60 for online or phone video consultations. The pharmacy will be charged for any medication costs.
The psychiatrist will ask questions regarding your family history and the effects of your ADHD symptoms on your life and any relationship problems or mental health issues you might be experiencing. This is because ADHD is a genetic disorder and it is crucial to examine any family history that might indicate that you're at risk of developing the disorder.
It is essential that you are honest and open to the doctor during the assessment, since the information they gather will be used to determine whether your ADHD is in line with the diagnostic criteria. This is an important step, as a wrong diagnosis could result in a prescription for medication that is not appropriate.
If you've decided that you would like to receive treatment for your adhd titration waiting list, we will then arrange a follow up appointment with one of our psychiatrists that specialize in this area. If you'd like to begin treatment immediately you can start treatment at the time of diagnosis. Or you can wait for two weeks before considering the implications of the diagnosis and your options.
We recommend that if you are unsure about your preferences, you speak with your GP prior to booking your private examination. Some providers have different policies regarding whether they require a GP letter. Find out if your GP accepts the Shared Care Agreement, which means that you will be referred to them after you leave the clinic for medication prescription.
Medication
For many who wish to obtain a private adhd medication titration diagnosis of ADHD treatment is an important element of their treatment. It isn't always easy to obtain a prescription from a psychiatrist on the NHS. NHS waiting lists are notoriously long, and GPs may be reluctant to refer patients 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). You can select a provider that offers a private assessment service and titration. This can help you save time and be more convenient, especially when you are on a tight schedule.
After you have been recommended, your physician will assess you to determine if you need medication adjustment. You will be asked to fill in forms that are different for each provider, but the main ones are self-report questionnaires as well as medical histories from childhood and adulthood. These forms will help your clinician determine if there are any factors that could mean that you shouldn't be taking ADHD medication, even when they've been prescribed.
If you are titrated, the medication will be a combination stimulants and nonstimulant medications. They will be tested and monitored to find the best combination for you. The titration can be a lengthy process and may require multiple appointments before you are stable.
The frequency of your follow-up appointments will depend on the type and quantity of medication that you are taking. They can be monthly or quarterly. Your physician will make sure whether you are safe with the medication, document any adverse reactions you have experienced and make any needed adjustments to ensure that you remain on a safe dose. You'll also have to attend a routine health check, which could include blood pressure readings, pulse and weight and an annual check-up.
For some individuals it could be because they are satisfied with their medication and don't require any further discussion on their titration. For those who require further discussions regarding the titration process and treatment plan, it's possible to be passed back to the same private clinic that performed their initial assessment. In this case the titration is included in the consultation cost. The medication will then be administered via a private prescription. It could cost more than an NHS prescription since the pharmacy will charge for the medication.