ADHD Clinics

PS: If you are ever expecting a reply from us please check your junk folder. Our email is info@adhd-clinics.co.uk 

Please note the spellings of our email and website address. We are ADHD Clinics. There are a few similar sounding services. Please note the s at the end of ADHD Clinics. Email is info@adhd-clinics.co.uk and website is www.adhd-clinics.co.uk

Our fee structure is explained here. There is no VAT added. The fee includes the assessment appointment, review of records, and the assessment report.

Please note that the fee payment can direct bank transfer or card payment on our online booking system which you can access by clicking here or Book appointment online now.

Please go through our FAQs. Apologies, we do not offer Right to Choose.

Terms and Conditions

Please read carefully as these guide your engagement with us. In booking an appointment with us you are aware of / consent to the following:

• The assessment is done by a General Medical Council GMC UK, licensed Consultant Psychiatrist who is a Member of The Royal College of Psychiatrists MRCPsych and has completed higher specialist training.
• Assessment is via online video zoom link. It can take up to 1.5 hours. Our psychiatrists try to complete the assessment in 1 appointment but if your history is complex then it may take 2 assessment appointments. In which case the fee will be base fee *2 for example 2 x £600 however this is rare and has happened only 4 times.
• Appointments cannot be cancelled or changed with less than 48 hours notice. Before 48 hours cancellation admin fee is £25.
• You confirm you are in the UK.
• We accept self-referrals. A GP referral letter is always helpful. We prefer it if it is available. If it is not, please let us know.
• We communicate only via emails and the assessments are through online video.
• We do not chase GP or other services for documents. These can include initial referral, investigations results, brief GP summary, and previous reports etc. We respectfully expect our patients to do that as they are in the best position to do so and we have limited resources.
• Collateral information like information from family members or school reports are required.
• If a diagnosis is reached you may go to the GP for medication prescribing. GPs normally do not start prescribing but they are happy to take over prescribing once titration is complete. It is better to ask the GP first.
• Assessment can be kept confidential. However, if treatment is started with ADHD Clinics the GP will be informed.
• For medication treatment/titration we have a terms/procedure which can be emailed to you. You can also find it here https://adhd-clinics.co.uk/services/treatment-for-adhd-medication-titration. This will need to be agreed before initiation of medications.
• For medications Blood tests and ECG need to be done. GP brief patient summary needs to be available.
• Each follow-up appointment fee is £225 and includes the fee for 1 prescription if indicated and agreed. This does not include the medication cost, which you pay directly to the pharmacy.
• It generally takes about 3-4 follow-up appointments (each follow-up is £225) to find the right medication, right dose – the process of Titration. Depending on the case it may take longer.
• Prescription cost out of a follow-up is £80. This does not include medication cost, which you pay directly to the pharmacy.
• At the end of titration, we support Shared Care Arrangement SCA with GP. SCA cost is £175. Please do talk to your GP about SCA.
• If you are discharged from/after the treatment the GP will be informed.
• We may use your case details for audit, research and case discussion purposes. In doing so your confidentiality will be completely maintained.
• Please note the assessment may or may not result in diagnosis of ADHD. The psychiatrist will offer their expertise in assessing the case to the best of their ability and may reach a conclusion of you not having ADHD. 
• Our Psychiatrist, after assessment, might conclude that we are not the right service for your but will try to provide helpful guidance. 
• If you are diagnosed with ADHD, depending on the case, we reserve the right to not offer treatment.
• ADHD Clinics provides services only to patients who are physically present in the United Kingdom at the time of the appointment. Due to medical licensing and indemnity regulations, patients must confirm that they will be located in the UK (England, Wales, Scotland, or Northern Ireland) during their online consultation. If this is not the case, we regret that we cannot proceed with the appointment.
• Governing Law & Jurisdiction By booking an appointment with ADHD Clinics, you acknowledge and accept that the service is governed by the laws of England and Wales. Any disputes or legal matters arising in relation to services provided shall be subject to the exclusive jurisdiction of the courts of England and Wales, regardless of where in the UK you reside.

• Please note that the appointment times shown online for Dr Went and Dr Iqbal are placeholders only. The actual appointment date and time may differ based on clinician availability. We recommend contacting us before booking so we can offer you the most accurate and up-to-date appointment options.

Please take a note of our Cancellation Policy

Cancellation Policy

We would always encourage you to attend your appointment as arranged, but we understand that circumstances can change.

If you are unable to attend your appointment, please email us: info@adhd-clinics.co.uk

We would always try to accommodate your requests but due to working limitations we have some cancellation conditions as below:
Appointments can be cancelled or changed if you inform us before 48 hours of the appointment.
If there is less than 48 hours’ notice full fee will be charged.
Appointments booked within 48 hours cannot be cancelled or changed

Non attendances are fully charged.

Please note, if we do not hear from you during or after treatment for six months, we will assume you no longer wish to remain under our care and will close your case accordingly. Of course, you are always welcome to get back in touch if you need support again.

Hope the above helps.

Please let us know if you want to know anything else. Our email is info@adhd-clinics.co.uk 

Best wishes,

ADHD Clinics

Titration process

Please read through. Starting a period of titration/ treatment with ADHD Clinics means you are aware of / consent to the following.

What is Titration?

Titration, in medical terms, refers to the careful process of working with the patient to ascertain the most effective medication and adjusting the dosage to achieve the optimal therapeutic effect. At ADHD Clinics, our team of highly skilled Consultant Psychiatrists specialise in this nuanced approach. They aim to identify the lowest effective dose that alleviates symptoms without causing significant side effects.

There is no way to predict the dosage of ADHD medication that will work best for any given patient. It takes trial and error to titrate ADHD medications. Consultant Psychiatrists at ADHD Clinics undertake the meticulous task of titrating medication. This means they systematically and gradually adjust the dosage, whether increasing or reducing it as the case may be, until you or your child reaches maximum symptom relief with minimal side effects.

This personalised and expert-guided titration process ensures that the treatment plan aligns precisely with individual needs, providing the highest standard of care. The Consultant Psychiatrists at ADHD Clinics bring their wealth of experience and specialised knowledge to tailor the treatment journey for optimal therapeutic outcomes.

Why is Titration Important?

There are different types of ADHD medications, and they can have varying effects on individuals, and finding the right balance is crucial. The titration process allows our psychiatrists to monitor responses closely, ensuring that the chosen medication effectively addresses symptoms while minimising any potential side effects. It is a personalised journey to discover what works best for each individual.

Benefits of Titration: Titration of medications for ADHD has several benefits, including-

— Finding the lowest effective dose: Titration helps to find the lowest effective dose of medication that improves symptoms without causing significant side effects. This can help to minimise the risk of side effects and improve medication adherence.

— Individualised treatment: Titration is a personalised process that takes into account the individual’s specific needs and response to medication. This can help to ensure that the individual receives the most effective treatment for their symptoms.

— Monitoring for side effects: Titration allows for close monitoring of the individual’s response to medication and the development of side effects. This can help to identify and manage side effects early on and ensure the safety of the individual.

Factors Influencing Titration:

Several factors contribute to the titration process, including age, weight, medical history, psychiatric history, concurrent medications, and the severity of ADHD symptoms. ADHD Clinics Psychiatrists carefully consider these elements when determining the initial dose and the rate of adjustment.

Before Titration:

* Before starting Titration/treatment please talk to your GP about eventually taking over your prescribing when you are ready, on a Shared Care Agreement SCA or a discharge to them.

ADHD Clinics Psychiatrists will need to know your Blood Pressure, Heart Rate and weight. Your Blood tests and ECG, as advised in your assessment report, will be reviewed.

GP patient summary is also required. This is a 2–3-page document which contains pertinent information about your medical and psychiatric history. It is the same as Summary Care Record SCR.  It is readily available from your GP Surgery reception.

The Titration process:

— The Titration process typically begins with a discussion to collaboratively agree on a particular medication, and it is started at low dose, gradually increasing it over time.

– If Titration/treatment is started the GP will be informed.

– Psychiatrists at ADHD Clinics working ethos is Start Low Go Slow. We find this a better working method especially for ADHD medications.

— ADHD Clinics Psychiatrists conduct regular reviews, usually every 3-4 weeks, to assess the individual’s response to the medication.

— Depending on the situation, rarely, appointments might be more frequent if the history is complex, in the presence of psychiatric or medical comorbidity, severe side effects occur or if there are new developments.

— It usually takes 3-4 review appointments for the titration to be completed but depending on the case it may take longer. This may be in situations like if the medication needs to be changed, history is complex, in the presence of psychiatric or medical comorbidity, severe side effects occur or if there are new developments or new information becomes available.

— Please note that our psychiatrists believe in collaboration with patients, they will take your choice and opinions on board on the choice of medications and the dose but their decision would be final. This would always be in the best interest of your health and safety.

Reviews and repeat prescription requests:

– Before any prescription is agreed and sent, please confirm from your local pharmacies which medication and dose is available.

– During the Titration phase, we prefer the first two reviews to take place consecutively.

– After that, if required, patients can request one repeat prescription between reviews.

– A 7-day notice is expected for issuing prescriptions.

– Our psychiatrists cover each other during times of annual leaves and sickness etc. Sometimes a Prescription can also be done by another Psychiatrist who is not involved in a patient’s treatment. This is covered under our prescribing policy.

Shared Care Agreement SCA:

Once a stable dose is achieved, the expectation is that GPs take over prescribing. This transition often involves a Shared Care Agreement SCA between ADHD Clinics and the GP. If the patient prefers, they can ask for a discharge to the GPs care. Patients can also choose another private provider.

After establishing an SCA with the GP, patients are required to attend at least a yearly review, if not 6 monthly. In cases where GPs decline the SCA, repeat prescriptions can be issued monthly for five months, after which a follow-up review at 6 month becomes necessary.

Patient-Centered Care:

At ADHD Clinics, we recognise the importance of individualised care. The titration process may take time, involving adjustments and trying different approaches, but our goal is to collaboratively work with each patient towards a stable and effective medication plan tailored to their unique needs.

Please note ADHD Clinics can change this Titration process without notice.

Please also watch this video

https://youtu.be/skcw8c9ZXcQ?si=MTBk5Toa-JOLX7gb

If you have any questions, please do not hesitate to ask.