dxtny62@rx6.marymarshall.co.uk – https://www.iampsychiatry.uk/private-adult-adhd-titration/

Private ADHD TitrationThere is a national shortage of medications to treat ADHD symptoms. This is due to manufacturing problems and the growing demand for ADHD medications worldwide.Our service offers private ADHD adjustment instead of waiting for NHS funding via Right to Choose. Our assessment fees cover the cost of a single prescription.TitrationA comprehensive assessment of your ADHD symptoms will be carried out by an experienced consultant Psychiatrist. This will include an examination of your medical history as well as an assessment using the typical ADHD rating scales and questionnaires.After your examination, you will be informed that medication may be beneficial for your specific situation. This will be discussed during your follow-up appointment (which may be scheduled in person, by video link, or over the phone). Your doctor will go over the various medication options available. If you decide to begin medication, we will offer you the opportunity to increase your dosage to optimize the benefits/side-effects balance for you.This is a process which could take a few weeks. It requires adjusting your child’s dosage gradually until the appropriate balance is achieved. It is not unusual to need to titrate several times before finding the one that is best for your child’s ADHD symptoms. It is important that parents participate in the titration and keep an eye out for their child’s behavior, so they can inform the doctor whether the medication is helping or causing adverse reactions.If you decide to return to NHS treatment you will receive an individual prescription for your medication. You will have to pay for your prescription at the pharmacy. This is not included in the consultation cost. You will be required to attend six monthly appointments to monitor your medication, which includes pulse and blood pressure readings. Annual exams are also required.Follow-up appointmentsAfter the assessment is complete and you are satisfied, you can schedule appointment with the psychiatrist. The appointment usually takes place through a video call using zoom but in certain circumstances it might be possible to schedule an audio-only consultation (again at an extra cost).At this point we will discuss any treatment options and come up with a unique ADHD medication titration program. This will include an assessment of your medication dose and a discussion of any possible side effects you might be experiencing. These titrations cost PS150 for face-toface sessions and PS60 by video or phone consultation. Costs for medication are extra and are paid directly to the pharmacy.The psychiatrist will also inquire with you about your family history and the impact that your ADHD symptoms have on your life, as well as any issues with your relationships that you may be having or other mental health problems that you may be suffering from. ADHD can be a genetic condition, so it’s important to assess your family background to determine if you are at a higher chance of developing this condition.During the assessment, it is vital that you are honest and honest with your doctor who will use the information you provide to determine whether you are able to meet the diagnostic criteria for ADHD. This is a vital step in the process because if you don’t do it, it could result in an incorrect diagnosis, and thus an incorrect prescribing of medication.If you’ve decided you’d like to receive treatment for your ADHD We will set up a follow-up appointment with one of our psychiatrists who specialize in this area. If you’d like to begin treatment immediately it is possible to start treatment when you are diagnosed. You can also wait two weeks to consider the implications of the diagnosis and what options you have.If you aren’t sure which one you prefer We suggest you speak to your GP before booking your private examination as some providers have different rules regarding whether they require an GP referral letter or not. Check if your GP accepts the Shared Care Agreement, which means you will be referred to them after you leave the clinic for prescriptions for medication.MedicationFor many people who seek an official diagnosis of ADHD, medication is a key element of their treatment. It isn’t easy to obtain an appointment with a psychiatrist on the NHS. NHS waiting lists are notoriously long and GPs may be reluctant to refer patients to specialist services.Asking your GP to refer through Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). This means that you can select an organization that offers an assessment and titration service. This can reduce your wait time significantly and is more convenient if you’re working and have a full schedule.Once steps for titration ‘ve been diagnosed, your doctor will assess you to determine if need medication adjustment. You’ll have to fill out forms that differ by provider however the most commonly used ones are self-reporting forms and medical histories going back to childhood and adulthood. These forms will assist your doctor to determine if there are any circumstances that indicate you shouldn’t be taking ADHD medication, even when they’ve been prescribed.If you are on a titration medication, this will usually consist of stimulants and non-stimulant medications. These will be carefully trialled and monitored to determine the most suitable combination for you, taking into account any current conditions you suffer from. The titration process can be lengthy and may need some additional appointments before you’re able to stay on your dose.The frequency of your follow-up appointments is contingent on the type and amount of medication that you are taking. They can be scheduled for monthly or quarterly. Your clinician will check whether you are stable on the medication, record any side effects that you’ve experienced and make any necessary adjustments to ensure that you remain on a safe dose. You will be required to go to an annual review as well as a routine health examination which includes pulse, blood pressure and weight measurements.For some individuals, it may be that they are content with their medication and don’t require an additional discussion regarding their titration. However, for those who do need further discussions about their titration and treatment plan it is possible that they will be referred back to the private clinic that made their initial assessment. If this occurs, the titration consultation will be part of their consultation fee and they will receive their medication through a private prescription (see Consultation fees above). This can cost more than prescriptions from the NHS since the pharmacy will charge for the medication.