7 Things You've Never Knew About Private ADHD Titration
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 offers private ADHD titration instead of waiting for NHS funding via Right to Choose. Our assessments cost include the cost of one prescription.
Titration
A highly experienced psychiatrist consultant will conduct a comprehensive assessment of your ADHD. This includes a thorough medical history, as well as an evaluation using the common ADHD questionnaires and rating scales.
After your assessment, you will be informed if medication would be beneficial for your situation. The discussion will take place at your follow-up appointment (which may be scheduled in person, via video link or by phone). Your physician will go over the various medication options available. If you decide to begin medication, we will help you the option of titrating your dose to maximize the benefits/side effects balance for you.
titration of adhd medication may take a few weeks and involves gradually adjusting your child's dosage until the appropriate balance is achieved. It's not uncommon to have to adjust up to three different medicines before you can find the one that best suits your child's ADHD. 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 helping or causing adverse effects.
If you do not decide to return to NHS care the medication you take will be provided with a private prescription which you'll need to pay for at the pharmacy (this is not included in your consultation fee). You'll be required to attend regular appointments every six months to monitor your medication - this includes pulse and blood pressure readings. Annual reviews are also required.
Follow-up appointments
After the assessment is completed you will be able to schedule appointment with the psychiatrist, as appropriate. The appointment is usually done by video conference using zoom. In some instances, it could be possible to have an audio-only consultation to be conducted (again at an additional cost).
We will then go over treatment options and choose a bespoke, individualised ADHD medication adjustment. This will include a review of your medication dose and a discussion of any possible adverse effects you may be experiencing. The cost of these titration sessions is PS150 for face-to face sessions and PS60 for online or telephone video consultations. The pharmacy will charge you for any charges for medication.
The psychiatrist will ask you questions regarding your family history as well as the impact of your ADHD symptoms on your daily life and any mental health issues that you might be experiencing. ADHD is a genetic condition, and it's vital to assess your family history in order to determine if you're at risk of developing this disorder.
It is crucial to be honest and transparent with your doctor during the assessment, since the information they get will be used to determine if your ADHD fits the diagnostic criteria. This is a crucial part of the process, as failing to do so could result in an inaccurate diagnosis, and thus an incorrect prescribing of medication.
If you have decided that you'd like to receive treatment for your ADHD, we will then schedule a follow-up appointment with one of our psychiatrists who specialize in this field. If you'd like to start treatment right away, you can do this immediately following the diagnosis. Or you can wait two weeks to think about the implications of the diagnosis and the options available to you.
We recommend that if you are unsure about your preferences, talk with your GP prior to booking your private appointment. Certain providers have different policies on whether they require the submission of a GP letter. Make sure that your GP accepts the Shared Care Agreement, which means that you will be referred to them when you leave the clinic to get a prescription medication.
Medication
Medication is a key element of the process for many who are seeking a private ADHD diagnosis. It isn't easy to obtain an appointment with a psychiatrist on the NHS. NHS waiting lists can be extremely long, and GPs may be reluctant to refer their 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). This means that you can choose an organization that offers a private assessment and titration service. This will help you save time and be more convenient, particularly if you have a busy schedule.
Once you've been referred, your clinician will evaluate you to determine if you need medication adjustment. You will need to complete forms that vary by doctor however the most commonly used ones are self-reporting questionnaires and medical histories that go to your childhood and into adulthood. These forms will assist your doctor determine any issues that could indicate that you shouldn't be taking ADHD medications if they are prescribed.
If you are being titrated the medication will consist of stimulants and non-stimulant drugs. These will be thoroughly tested and monitored to find the best combination for you. The titration process can be a lengthy process and may require multiple appointments before you are stable.
Based on the type of medication you are taking, follow-up appointments can be scheduled either monthly or quarterly. Your clinician will check that you are stable with the medication, document any side effects you've experienced, and make any necessary adjustments to ensure you remain on a safe dose. You are required to attend an annual review and a routine health examination which includes pulse, blood pressure, and weight measurements.
Some people might be satisfied with their treatment and therefore do not require discussing their titration further. If you're required to discuss your titration or treatment plan further it is likely that you'll be referred to the private clinic who performed your initial assessment. In this case the titration is included in the consultation fee. The medication will be administered via the private prescription. This may cost more than a prescription from the NHS since the pharmacy will charge you for the medication.