Private ADHD
titration meaning adhd
There is a current national shortage of medications to treat ADHD symptoms. This is due to manufacturing problems as well as an increase in demand 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 conducted by an experienced consultant Psychiatrist. This includes medical history and an assessment using the standard 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 could be in person, via video link or by telephone). Your doctor will explain the various options for medication and if you decide to begin taking medication, we will suggest titrating dosage to ensure the benefits/side effects balance for you.
This process may take several weeks, and requires adjusting your child's dosage slowly until the right balance is achieved. It is not unusual to need to titrate three or four medications before finding the best one for your child's ADHD symptoms. It is important that parents participate 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 reactions.
If you decide to go back to NHS treatment you will be issued an individual prescription for your medication. You will have to pay at the pharmacy. This is not included in the consultation fee. You will need to attend six-monthly appointments to check your medications. This includes the measurement of pulse and blood pressure. Annual reviews are also required.
Follow-up appointments
Once the assessment is completed after the assessment is completed, you can make appointment with the psychiatrist. The appointment is usually done through a zoom video call. In some instances, it could be possible to have an audio-only appointment to be scheduled (again with an additional cost).
At this point, we will discuss treatment options and come up with a unique
adhd medication titration (
https://raftweasel2.werite.net/Titration-for-adhd-what-no-one-is-talking-about) program. This will include a review and discussion of your dosage of medication, as well as any side effects you might be experiencing. The cost for these titration sessions 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 history and the impact that your ADHD symptoms have on your life, including any issues with relationships you may be experiencing or other mental health issues you might be experiencing. This is due to the fact that ADHD can be an inheritable condition, and it is essential that we assess any family history that could indicate that you're at risk of developing the disorder.
During this assessment it is vital that you are truthful and honest with the clinician who will be using the information you provide to determine if you are able to meet the diagnostic criteria for ADHD. This is a crucial step, since an incorrect diagnosis could result in a prescription for medication that is not appropriate.
If you've decided you'd like to receive treatment for your ADHD We will schedule a follow-up appointment with one of our psychiatrists that specialize in this field. If you want to start treatment immediately it is possible to start treatment when you are diagnosed. Or you can wait 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 with your GP prior to scheduling your private assessment as some providers have different policies regarding whether they require the submission of a GP referral letter or not. We also recommend to confirm that your GP accepts a "Shared-Care Agreement which means that after you have been discharged from the clinic you will be referred back to them for the medication prescription.
Medication
For many people who want an official diagnosis of ADHD treatment is a crucial part of their journey. The process of getting an appointment with an NHS psychiatrist can be a challenge and time-consuming. NHS waiting lists can be notoriously long, and GPs might be reluctant to refer their patients to specialist services.
One way to get around this is to ask your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). You can select a provider who offers an assessment on your own and titration. This can help you to save time and also be more convenient, particularly if you have a busy work schedule.
Once you have been identified as a candidate for this treatment, your chosen clinician will assess you and decide whether or not you're required to be adjusted on your medication. You'll have to complete forms that differ by provider but the most frequent ones are self-reporting questions and medical histories going to your childhood and into adulthood. These forms will help your clinician determine if there are any factors that could mean that you shouldn't be taking ADHD medications, if they have been prescribed.
If you are titrated, the medication will consist of a mixture of stimulants and non-stimulant drugs. These will be carefully trialled and monitored to find the most effective combination for you, taking into consideration any existing conditions you have. The titration procedure can be long and may require multiple appointments before your dose is stable.
Based on the type of medication you are taking, follow-up appointments could be scheduled monthly or quarterly. This will involve your clinician checking to see if you are stable on the medication, logging any side effects you have had and making any necessary adjustments to ensure that you're in a safe dosage. You'll also have to undergo a regular health check, which could include blood pressure readings, pulse and weight as well as an annual review.

For some people, it may be that they are satisfied with their medication and don't need an additional discussion regarding their titration. If, however, they do need further discussions about their titration and treatment plan it's possible to be referred back to the same
private titration adhd clinic that made their initial assessment. If this occurs, the titration appointment will be part of their consultation fee, and they will receive their medication via private prescription (see Consultation fees above). This may cost more than a prescription from the NHS, as the pharmacy will charge you for the medication.