rrxck37@rx6.katykahn.co.uk – https://www.iampsychiatry.uk/private-adult-adhd-titration/

Private ADHD TitrationThere is a nationwide shortage of medication to treat ADHD symptoms. This is due to manufacturing issues and an increased global demand.Our service offers private ADHD titration instead of waiting for NHS funding via Right to Choose. Our fees for assessments include the cost of one prescription.TitrationA thorough evaluation of your ADHD symptoms will be carried out by a highly experienced consultant Psychiatrist. This includes a complete medical history and an evaluation using the typical ADHD questionnaires and rating scales.Following your assessment you will be informed whether medication may be beneficial in your case. This will take place during your follow-up appointment (which can be done in person, via video link or via phone). Your doctor will go over the various medication options available. If you decide to start medication, we will offer you to titrate your dose to optimize 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’s not uncommon to to titrate up to three different medicines before you can find the one that best fits your child’s ADHD. It’s important for parents to take part in this process of titration, and keep an watchful eye on their child’s behavior, so that they can inform the doctor whether the medication is helping or causing side effects.If you do not decide to return to NHS treatment the medication you take will be given as a private prescription which you’ll have to pay for at the pharmacy (this is not included in your consultation fee). You’ll need to attend six-monthly appointments to monitor your medications. This includes the measurement of pulse and blood pressure. Annual checks are also required.Follow-up appointmentsAfter the assessment is completed you will be able to schedule follow-up appointments with the psychiatrist, as appropriate. The appointment is typically conducted through a zoom video call. However, in certain cases, it may be possible to have an audio-only consultation to be scheduled (again with an additional cost).In this session, we’ll discuss treatment options and decide on a custom-made ADHD medication titration program. This will include an assessment of your medication dosage and a discussion around any side effects you might be experiencing. The cost of these titration sessions is PS150 for face to face sessions and PS60 for online or phone video consultations. The pharmacy will be charged for any medication costs.The psychiatrist will also ask you about your family history and the impact your ADHD symptoms impact your life, including any issues with relationships you may be having or other mental health problems that you may be suffering from. This is because ADHD is a genetic disorder and it is essential that we assess any family history that might indicate that you’re at risk of developing the disorder.During this assessment it is crucial that you are truthful and open with the doctor, as they will be using the information you provide to determine if you meet the diagnostic criteria for ADHD. This is a crucial 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 decide to seek treatment for ADHD we’ll schedule an appointment to follow-up with a psychiatrist who specializes in this area. This can be done in the wake of your diagnosis if you are keen to begin treatment immediately, or within two weeks if would like more time to consider the implications of your diagnosis and the alternatives available to you.If you’re not sure which one you prefer it is recommended that you speak with your GP prior to scheduling your private examination as some providers have different rules regarding whether they require a GP referral letter or not. We also advise that you check whether your GP accepts a ‘Shared Care Agreement that means that once discharged from the clinic you will be sent back to them to get the prescription for medication.MedicationThe medication process is an essential aspect of the treatment process for many who are seeking a private ADHD diagnosis. titration meaning adhd isn’t easy to obtain prescriptions from psychiatrists on the NHS. NHS waiting lists are notoriously long and GPs are often reluctant to refer 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). You can choose a service who offers an assessment that is private and titration. This will help you reduce time and be more convenient, particularly if you have a busy work schedule.After you’ve been referred through this route, your chosen clinician will assess you and decide whether or not you need to be monitored for a dose of medication. You will need to fill out forms that are different for each provider however the most commonly used ones are self-reporting forms and medical histories going to childhood and adulthood. These forms will assist your doctor determine any issues that could mean you shouldn’t take ADHD medications if they are prescribed.If you are on a titration medication, it will typically include a mix of stimulants and non-stimulant medications. They will be tested and monitored to find the most suitable combination for you. The process of titration can be lengthy and may require a few extra appointments before you are stable on your dosage.The frequency of your follow-up appointments will be contingent on the type and quantity of medication you’re taking. They can be scheduled for monthly or quarterly. The appointment will involve your doctor making sure that you are stable on the medication, noting any adverse effects you’ve experienced, and making any necessary adjustments to ensure that you remain on a safe dosage. You are required to attend an annual health check-up and routine health examination which includes blood pressure, pulse, and weight measurements.Some people might be satisfied with their medication and therefore do not need to discuss their titration process further. However, for those who require further discussion about the titration process and treatment plan, it is possible that they will be referred back to the same private clinic that conducted their initial assessment. In this case the titration will be included in the consultation cost. The medication will be administered via an individual prescription. This can cost more than a prescription from the NHS, as the pharmacy will charge you for the medication.