A Step-By-Step Guide To Private ADHD Titration From Beginning To End
Private ADHD Titration
There is a current national shortage of medication to treat ADHD symptoms. This is due to manufacturing problems and the growing demand for ADHD medications worldwide.
Our service is able to provide 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 thorough evaluation of your ADHD symptoms will be carried out by a highly experienced consultant psychiatrist. This will include medical history and an assessment using the typical ADHD rating scales and questionnaires.
After your examination, you will be advised if medication is considered to be beneficial for your situation. This will be discussed during your follow-up appointment (which could be in person, via video link or over the phone). Your clinician will discuss the various medication options available. If you decide to start taking medication, we can help you the opportunity to increase your dosage to ensure the best balance of benefits and side effects for you.
This process can take several weeks and it involves gradually altering your child’s medication until the appropriate balance has been achieved. It is not uncommon to to titrate as high as three different medicines until you discover the one that is most suitable for your child's ADHD. It is essential that parents participate in the titration process and be aware of their child's behavior, so they can inform doctors whether the medication is helping or causing adverse reactions.
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 the pharmacy. This is not included in the consultation cost. You must attend every six months to check your medication, which includes pulse and blood pressure readings. Annual checks are also required.
Follow-up appointments
After the assessment is complete, you can schedule follow-up appointments with the psychiatrist. Usually the appointment will take place via a zoom video call but in certain circumstances it may be possible to have an audio-only consultation (again at an extra cost).
We will then go over treatment options and choose an individualised, bespoke ADHD medication titration. This will include an assessment of your medication dosage as well as a discussion around any adverse effects you may be experiencing. The cost of these titration appointments is PS150 for face-to-face sessions and PS60 for telephone or online video consultations. The pharmacy will charge you for any medication costs.
The doctor will also ask you about your family background and the impact your ADHD symptoms impact your life, including any issues with your relationships that you may be facing or any other mental health problems that you may be suffering from. This is due to the fact that ADHD can be an inheritable condition, and it is crucial to look into any family history that might suggest that you are at risk of developing the disorder.
During this examination, it is essential that you are truthful and honest with the clinician who will be using the information you provide to determine whether you meet the diagnostic criteria for ADHD. This is a vital step in the process, because if you don't do it, it could lead to an inaccurate diagnosis, and thus an incorrect prescribing of medication.
If you have decided that you'd like to be treated for your ADHD We will schedule a follow-up appointment with one of our psychiatrists that specialize in this field. This can be scheduled at the time of your diagnosis if you want to start treatment immediately or within two weeks if want to consider the implications of your diagnosis and the possibilities available to you.
If you're not sure what your preference is it is recommended that you speak to your GP before booking your private assessment as some providers have different rules regarding whether they require an GP referral letter or not. Find out if your GP accepts the 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. Getting an appointment with an NHS psychiatrist can be a hassle and time-consuming. NHS waiting lists are notoriously long, and GPs may be reluctant to refer patients to specialist services.
Requesting your GP to refer you to Right to Choose is one way to avoid this (see psychiatry - UK and ADHD 360). This means that you can select a provider that offers a private assessment and titration. This can cut down on wait time significantly and is more convenient if you are working and have a full schedule.
If you are identified as a candidate for this treatment your chosen doctor will evaluate you and determine whether or not you're required to be monitored for a dose of medication. You will be asked to fill in forms that are different for each provider, but the main ones are self-report forms and medical histories from childhood and adulthood. They will help your physician identify any factors that might mean you shouldn't take ADHD medication if prescribed.

If you are being titrated, the medication will consist of a mixture of stimulants and non-stimulant drugs. These will be carefully trialled and monitored to determine the most suitable combination for you, taking into consideration any current conditions you suffer from. titration service can be a lengthy process and may require multiple appointments before the dose becomes stable.
The frequency of your follow-up appointments will depend on the type and amount of medication you are taking. They can be monthly or quarterly. The appointment will involve your doctor making sure that you are taking the correct medication, recording any side effects you've experienced and making any necessary adjustments to ensure that you remain on a safe dosage. You will also be required to attend a routine 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 do not have to discuss their titration further. However, for those who require further discussion about their titration and treatment plan it is possible that they will be referred back to the same private clinic that performed their initial assessment. If this occurs, the titration consultation will be included in the consultation fee, and they will be given their medication via private prescription (see Consultation fees above). This can cost more than a prescription from the NHS because the pharmacy will charge for the medication.