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There is a national shortage of medications that treat ADHD symptoms. This is due to manufacturing issues and a growing global demand.

Our service is able to offer private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessments are free and include the cost of one prescription.

Titration

A highly skilled consultant psychiatrist will conduct a thorough assessment of your ADHD. This includes medical history and an assessment using the typical ADHD rating scales and questionnaires.

Following your assessment you will be informed whether medication may be beneficial in your case. This will be discussed during your follow-up appointment (which can take place in person, via video link or by 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 is a process which could take a few weeks, and involves adjusting your child's medication gradually until the appropriate balance is achieved. It's not uncommon to need to adjust three or four medications before finding the best one for your child's ADHD symptoms. It is essential that parents take part in the titration process 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 return to NHS treatment, your medication will be issued with a prescription from a private pharmacy that you'll have to pay for at the pharmacy (this is not included in the consultation fee). You will be required to attend regular appointments every six months to monitor your medication - this includes pulse and blood pressure readings. Annual reviews are also mandatory.

Follow-up appointments

Once the evaluation has been completed, you will be able to make follow up appointments with your psychiatrist, if necessary. The appointment usually takes place via a zoom video call however in some instances it is possible to do an audio only consultation (again at an additional cost).

We will then discuss treatment options and choose a bespoke, individualised ADHD medication adjustment. This will include a review of your medication dose and a discussion around any negative side effects you may be experiencing. The cost of these titration consultations is PS150 for face-to-face sessions and PS60 for online or telephone video consultations. The pharmacy will charge you for any medication costs.

The doctor will also ask you about your family history and the impact your ADHD symptoms have on your life, including any issues with relationships you may be facing or any other mental health issues you may be suffering from. This is because ADHD is a genetic condition and it is important that we assess any family history that could suggest that you are at risk of developing the disorder.

It is essential to be honest and transparent to the doctor during the assessment, since the information they get will be used to determine if your ADHD meets the diagnostic criteria. This is an important step, since the wrong diagnosis can result in an inappropriate prescription of medication.

If you decide to receive treatment for adhd titration meaning, we'll arrange an appointment to follow-up with a psychiatrist who specializes in this area. This can be scheduled in the wake of your diagnosis if you are keen to begin treatment right away, or within two weeks if prefer to take time to think about the implications of your diagnosis and the possibilities that are available to you.

We recommend that if you are unsure of your preferences, you talk to your GP prior to scheduling your private appointment. Certain providers have different guidelines regarding whether or not they require a GP letter. Check if your GP accepts a Shared Care Agreement, which means you will be referred to them once you leave the clinic to get a medication prescription.

Medication

For many who wish to obtain a private diagnosis of ADHD, medication is a crucial aspect of their journey. It isn't easy to obtain prescriptions from psychiatrists 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 request your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). You can choose a service that offers a private assessment service and the titration. This can help you reduce time and be more convenient, particularly when you are on a tight work schedule.

If you are referred through this route, your chosen clinician will examine you and decide whether or not you need to be titrated on medication. You will be asked to fill in forms that vary by provider but the most common ones are self-report questionnaires as well as medical histories from childhood to adulthood. They will help your physician identify any factors that might mean you shouldn't take ADHD medications if they are prescribed.

If you are titrated, the medication will consist of a mixture of stimulants and non-stimulant drugs. The combination will be carefully tested and monitored to find the best combination for you, taking into consideration any medical conditions you may have. The titration process can be lengthy and may need a few extra appointments before you're stable on your dosage.

The frequency of your follow-up appointments is contingent on the type and quantity of medication you're taking. They can be scheduled for monthly or quarterly. This will involve your clinician checking that you are on the right medication, recording any side effects you've experienced, and making any necessary adjustments to ensure that you remain on a safe dosage. You'll also have to attend a regular health check which can include blood pressure readings, pulse and weight and an annual check-up.

Some people may be satisfied with their medication, and do not need to discuss their titration adhd in more detail. For those who do need further discussions about the titration process and treatment plan, it's possible that they will be passed back to the same private clinic that conducted their initial assessment. If this happens, the titration appointment will be included in the consultation fee and they will be given their medication through a private prescription (see Consultation fees above). This can cost more than an NHS prescription since the pharmacy will charge for the medication.