Treatment

Attention Deficit Hyperactivity Disorder (ADHD)

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What is it and what are the symptoms?

ADHD is a neurodevelopmental disorder characterised by persistent patterns of inattention, impulsivity, and hyperactivity that hinder daily functioning.

Three main types

Inattentive, Hyperactive-Impulsive, and combined. Each can significantly impact academic potential, social interactions, confidence, and occupational functioning.

However, with proper diagnosis and management strategies, individuals with ADHD can learn to effectively navigate their challenges and thrive in various aspects of life. Many adults with ADHD remain undiagnosed, often unaware of their condition and potentially misdiagnosed with other disorders such as depression, anxiety, bipolar disorder, or learning disabilities. Our diagnostic criteria at MyPace align with NICE Guidelines to ensure accurate identification and tailored support.

Inattentive

Individuals with the inattentive type of ADHD struggle with several challenges that affect their daily functioning. These challenges include difficulty paying attention to details and frequently making careless mistakes, trouble sustaining attention in tasks or activities, and appearing not to listen when spoken to directly. Moreover, they may find it hard to follow through on instructions, organise tasks and activities, and may avoid or dislike tasks requiring sustained mental effort. Additionally, they often lose necessary items and are easily distracted by external stimuli, leading to forgetfulness in daily activities.

Hyperactive-Impulsive

The hyperactive-impulsive presentation of ADHD is characterised by several observable behaviours that significantly impact daily functioning. These behaviours include fidgeting with hands or feet, difficulty remaining seated, excessive running or climbing in inappropriate situations, and engaging in leisure activities loudly. Individuals may also appear constantly restless, talk excessively, blurt out answers prematurely, struggle to wait for their turn, and interrupt or intrude on others' conversations or activities. It's important to note that individuals may exhibit symptoms from both presentations, and the severity of symptoms can vary greatly among those with ADHD.

Combined

The combined type presentation of ADHD encompasses a range of symptoms that disrupt various aspects of life. Individuals with combined type ADHD often exhibit both hyperactive and inattentive behaviours, such as restlessness, impulsivity, difficulty staying focused, and being easily distracted. They may struggle with sitting still, frequently interrupting conversations or activities, and having trouble waiting their turn. This combination of symptoms can significantly impact daily functioning and require a comprehensive approach to treatment, including medication, therapy, and behavioural interventions tailored to address both aspects of the condition.

Treatment options

Treatment options for ADHD typically include a combination of medication, therapy, and lifestyle adjustments. Treatment plans are often tailored to each individual's specific needs and may evolve over time to address changing symptoms and circumstances.

Stimulant medication

This is commonly prescribed to help manage symptoms by increasing dopamine and norepinephrine levels in the brain, improving focus and impulse control.

Non-stimulant medication

This is useful for patients who don't respond well to stimulants or have a history of substance abuse.

Behavioural therapy

Cognitive-behavioural therapy (CBT) and parent training, can help individuals develop coping strategies, organisational skills, and improved social interactions. Additionally, educational interventions and accommodations in school or work settings can provide support tailored to the individual's needs.

Lifestyle adjustments

Regular exercise, a balanced diet, and adequate sleep can also play a crucial role in managing ADHD symptoms.

Key info before you book with us
We are an entirely private provider
  • Please note that our services are entirely private and not part of the NHS Right to Choose pathway.
  • Consequently, a diagnosis from our clinic may not expedite your treatment within the NHS, as the NHS may conduct its own assessments and consider treatment options accordingly.
  • However, if you are experiencing long waiting times within the NHS and wish to receive a private diagnosis and treatment while waiting, we are here to assist you.
Please speak with your GP beforehand
  • We highly recommend checking your GP's shared care policy before booking with us.
  • This will help to manage your expectations throughout your journey with us whilst also providing clarity on the financial commitments that private treatment for ADHD with us brings.
  • For more details on our ADHD adult assessment please check 'The Process' section below. If you have any further questions, please do not hesitate to contact us.
Active patient engagement is essential
  • Whilst we are dedicated to providing comprehensive support and guidance, it is essential for patients to actively engage in their own healthcare journey to achieve the best possible outcomes.
  • Our role is to offer expert advice, resources, and encouragement, but the effectiveness of these efforts depends significantly on the patient’s participation and commitment.
  • By taking an active role, following recommendations, and communicating openly with us, patients can maximise the benefits of our support and work towards improved health and well-being together.
Video consultations are non-refundable
  • Video consultations with our clinicians are non-refundable. There will usually be a small window where rescheduling an appointment may be possible, but this will incur additional charges to accommodate. Booking are non-refundable as it reserves a specific time slot in the clinician’s diary that is dedicated solely to the patient. This time cannot be offered to another patient once it is booked. This ensures that our schedule remains efficient and allows us to provide timely care to all our patients.
We do not currently offer any payment plans
  • Please note that we do not offer any payment plans at this time. Payments are taken at each stage of the patient journey.

The Process

Step One: Diagnostic Assessment

By booking a Diagnostic Assessment you are not tied into any further appointments at this stage.

Pre-assessment forms

Your booking confirmation email  will contain your Pre-Assessment Forms. These must be completed in advance of your assessment. If the forms are not filled within 48 hours of the assessment starting we will not be able to carry out your assessment and a rescheduling fee will apply.

What's included?
  • 60 minute session with one of our experts
  • Diagnostic decision only
  • Full written diagnostic report within 10 working days (subject to amendments)
Price

Ages 18+, £400.00

Ages 6-17, £1200.00

How do I book this?
  1. Scroll down to our booking section on this page
  2. Select ADHD Diagnostic Assessment at at time that suits you
  3. Complete all your pre-assessment forms as priority (and as outlined in your booking confirmation email)
Day of assessment

On the day of your assessment please ensure you are in a private space. Our clinicians will not proceed with the assessment if they are not satisfied with the surroundings. For example, you cannot be in your vehicle. It is best advised to attend the assessment in a private place with a strong network. You will be asked to present your ID at the beginning of the session. For further tips please click here.

Price

£90.00

How do I book this?

Scroll down to the booking section and select ADHD Treatment Consultation - book with any available clinician.

Treatment Resource Pack

We will send you a treatment resource pack after your assessment. We encourage patients to read this ahead of any discussion of treatment options. However, don't worry, our clinicians are on hand to advise you if you haven't read anything beforehand.

Time Bar Notice

From the date of your Treatment Consultation you will have three months to book your Prescription & Titration period as per our policy. If you return to us within:

  1. 3-6 months: You will be required to undergo another Treatment Consultation as per our policy.
  2. 6-12 month: You will require a Six Month Review
  3. 12+ Months: Existing Assessment Review
Step Two: Treatment Consultation

The gap between the Diagnostic Assessment and the Treatment Consultation is designed to give you some time to digest what can be a life changing diagnosis. It is often an emotional time and we therefore want to give time to the patient to adjust and learn more about the impact a diagnosis can have before jumping straight to a conversation on treatment options.

When can I book this?

Please wait for the first draft of your diagnostic report to be shared with you before booking a treatment consultation.

What's included?
  • 30 minute session with one of our experts
  • Discussion of treatment options available to you
  • Written treatment plan and communication with your GP
Step Three: Prescription & Titration

If you've attended the Treatment Consultation and have decided to trial medication, you will be advised to book Prescription & Titration.

How do I book this?

Select the All Prescription Bookings button which can be found in the top bar of any of our pages then select ADHD: One Month Prescription & Titration. Please ensure you read the terms and conditions before making your payment

What's included?
  • One prescription and one month's worth of a titration period.
  • Weekly Titration Communication Forms to liaise with our titration team regarding your progress.
  • There is no video link with this booking despite our website presenting it as such.
Price

£140.00

Do I get a physical copy of my prescription?

Currently, we offer two routes. You can notify us of your preference through the form you receive in the booking confirmation email.

Signature Pharmacy: You do not get a physical copy of your prescription. We will send your private prescription to our online pharmacy partner Signature. They will get in touch with you with a link to pay for your medication and deliver it to your chosen address. Click here for more information regarding Signature.

Local Pharmacy: You receive a physical copy of your prescription and take it to a pharmacy local to you.

Please note that we do not financially benefit from our partnership with Signature. The partnership was established to enhance both patient safety with controlled drug prescriptions and the patient experience.

Step Four: Post-Titration Follow-Up

After you've reached a dose you are happy with and you've communicated this with the titration team via the titration forms, you must book a Post-Titration Follow-Up. Here you will have a comprehensive review with one of our specialists who, if satisfied with your progress, will then write to your GP to propose shared care.

Price

£180.00

What's included?
  • 30 minute session with one of our experts
  • Overall review of your titration and maintenance periods
  • A follow-up letter and shared care proposal will be sent to your GP

Step Five: Repeat Prescription

Whilst you wait for your shared care decision from your GP you can book repeat prescriptions with us via our website. The booking link is found in the main tab section of our website

Price

£35.00

What's included?
  • One prescription of your agreed maintenance dose
  • Option to choose Signature Pharmacy
  • Please note that this does not include cost of medication
Step Six: Six Month Review

A Six Month Review is necessary for all medicating patients. This is regardless of shared care status. Our role as the specialist is to maintain oversight and to ensure that you continue to safely take your ADHD mediation between specialist reviews.

What's included?
  • 30 minute session with one of our experts
  • Overall review of your titration and maintenance periods
  • A six month review letter will be sent to your GP
Price

£180.00

What happens if I don't book & attend?

Shared care patients: we will write to your GP and inform them of non-attendance. This will likely result in the termination of your share care agreement.

Non-shared care patients: we will stop prescribing you with medication until you have fulfilled your obligation of booking and attending the six month review.

Make a booking

Frequently asked questions

Can't find your question here? Get in touch with our Support Team & help us keep our FAQ section well informed.

View all FAQ's
What does the ADHD patient journey look like?

Please refer to 'The Process' section above which details the steps involved in the ADHD patient journey.

Step 1: Diagnostic Assessment

Step 2: Treatment Consultation

Step 3: Prescription & Titration

Step 4: Post-Titration Follow-Up

Step 5: Six Month Review

Can I book any clinician?

Great news, you do not have to see the same clinician at each stage of your journey.

We want to provide as accessible a service to you as possible and having a multidisciplinary team allows us to do this. You can therefore see any clinician available on our system at your earliest convenience (or within advised timeframes depending on your individualised case). However, if you would like to see the same clinician as you did previously, and they are available for the necessary booking, then you are welcome to book in with them.

Please note that if a clinician you have seen previously is not visible on the system it may be that they do not conduct some type of appointments due to their calendar commitments.

How can I book an ADHD Diagnostic Assessment?
  • A booking can be made through our website www.mypaceuk.com
  • Please go to the 'Practitioners' tab to take a look at the Specialists that work for our company. All of the healthcare professionals we connect you with are highly experienced and registered with their respective bodies. The psychiatrists we connect you with are GMC registered doctors. Most work both in the NHS as well as the private sector.
  • Choose Book a Session in the top right corner of the page
  • Choose the appointment type: ADHD DIAGNOSTIC ASSESSMENT: ADULT
  • Choose the Clinician you would like to book with, alternatively, choose Any Clinician
  • Choose a Date and Time that suits you!
  • Fill in ALL personal details
  • PAY - The total cost for this appointment is £400

Once booking has been made online:

  • After booking you'll receive the following email Booking Confirmation - ADHD Diagnostic Assessment. It will contain the following forms:
  • Information Request & Consent Form
  • ADHD Informant Report Questionnaire
  • ASRS Scale
  • ADHD Self-Report Questionnaire
  • GP Practice Details

ALL forms will need to be completed at least 72 hours ahead of the appointment date/time.

What happens in the ADHD Diagnostic Assessment?

What happens at the appointment?

  • Prior to the call you MUST make sure you have ID: (drivers' license, passport or residency permit)
  • The appointment will be a 60-minute-long video call via a secure link
  • Please attend in a quiet place NOT a vehicle or public space.
  • Clinician will go through all criteria necessary to make a diagnostic decision  
  • The appointment is Diagnostic Only. This means there will be NO DISCUSSION OF TREATMENT
  • If a positive diagnosis is reached, the Clinician will inform you of the next steps.
  • The Clinician will then write up a Report to be sent to your GP - This can take at leat 10 working days
What is the average cost of the ADHD journey with MyPace?
  1. ADHD Diagnostic Assessment: £400: If a positive diagnosis decision is found, a patient can book for a Treatment Consultation if they wish to do so
  2. Treatment Consultation (If wishing to try treatment options): £90  
  3. Prescription and Titration: From £140* - A patient may need more than 1 titration period or may need to switch medication which incur costs. This step does not cover the costs of the physical medication. Only the private prescription.
  4. Post-Titration Follow Up Appointment: £180 - To discuss the titration period, agree a maintenance dose if possible and post-appointment prepare shared care documentation
  5. Repeat Prescription - £35 - Patients will need at least 1 repeat whilst waiting for a decision from the GP about shared care. If shared care is rejected, patients can continue purchasing repeat prescriptions.
  6. Six Monthly Reviews: £180 - Every 6 months whilst medicating (regardless of shared care status)  

TOTAL:  From £1,025  (payments made at each step to help split the costs for patients)

Why is a child's assessment more expensive?

Temporary answer

Can I cancel my ADHD Diagnostic Assessment?

The ADHD Diagnostic Assessment is non-refundable.

This is to account for the fact that when an appointment is booked, it reserves a specific time slot in our clinician’s diary that is dedicated solely to the patient. The one hour time slot dedication to the diagnostic assessment cannot be offered to another patient once it is booked. We do, however, offer a reschedule option if an appointment time can't be made but this is subject to our terms and conditions and patients may incur additional charges if the notice to reschedule is too late.

By keeping appointments non-refundable, we ensure that our schedule remains efficient and allows us to provide timely care to all our patients.

What happens after the ADHD Diagnostic Assessment?

Once an assessment has concluded and a decision on diagnosis has been reached your clinician will begin to prepare your diagnostic report. This can take at least 10 working days.

Do I need to provided MyPace with my GP Records

This is subject to your assessing clinician's reasoning. Typically, if we do require your medical records it will be asked for in the diagnostic assessment stage. However, it is also possible that this may be requested at later stages should the assessing clinician find it necessary to your continued care with us.

I've been asked to obtain my medical records by MyPace, how do I do this?

You will be provided with a consent letter that you must take to your GP. We will provide instructions on the letter as to how your GP can provide us with access to your records. Please note that we do not chase your GP for the submission of your records. This task rests with the patient. We take over at the review stage.

How much does it cost for my medical records to be reviewed?

The cost for your medical records to be reviewed is 50% of the diagnostic assessment fee.

When can I book the ADHD Treatment Consultation?

This can be booked after your receive the first draft of your diagnostic report.

How do I take my vitals?
Free blood pressure checks for Over 40s

Use this address checker to find a pharmacy near you that provides free blood pressure checks

Free blood pressure checks at your GP practice

Please speak to your GP as to whether they can offer this service to you

Buy a blood pressure monitor

We recommend the following Blood Pressure monitor: OMRON M2 Basic Blood Pressure Monitor for Upper Arm. Alternatively you can

Blood pressure monitors measure two pressures: systolic (SYS), and diastolic (DIA). Systolic and Diastolic blood pressure are measured in units of millimetres mercury (mmHg).  

Systolic blood pressure: This is the first, or top, number. It measures the force your heart exerts on the walls of your arteries each time it beats.  

Diastolic blood pressure: This is the bottom number, which measures the force your heart exerts on the walls of your arteries in between beats.  

Pulse. This is the number of times your heart beats per minute, this is measured automatically during the blood pressure measurement.

  1. In order for it to be an accurate reading it’s important that you’re resting and that you’re not feeling anxious or stressed.
  2. Sit upright in a chair, your back against the back of the chair, and place your feet flat on the floor.  
  3. Rest your arm on a table if you have one and just make sure your hand and arm are relaxed on the table. It’s important that you don’t clench your fist when you’re taking your blood pressure.  
  4. Place the cuff over your upper arm and tighten the cuff over your arm, making sure you can fit two fingers underneath the cuff.  
  5. When you check your blood pressure, do not talk and just relax. Press the on button, and then press the start button.  
  6. You’ll feel the cuff inflate quite rapidly. It may temporarily be a bit tender or uncomfortable for, as the cuff inflates and deflates automatically, but this will only be for a short period of time. If it is too tender/uncomfortable you can just press the ‘Stop’ button and the cuff will instantly deflate.  
  7. Once you get your reading, make a note of the reading.
  8. A few minutes after you’ve taken your blood pressure, it’s a good idea to check it again, to make sure the readings are similar and accurate.  
What is the cost of a Treatment Consultation & how do I book it?

The cost of a Treatment Consultation is £90.00.

How can I book a Treatment Consultation?

  1. Scroll up to our booking section on this page
  2. Choose the appointment type: ADHD Treatment Consultation (Patients w/ Confirmed MyPace Diagnosis)
  3. You may choose any clinician available
  4. Choose a Date and Time that suits you
  5. Fill in all personal details
  6. Complete the payment (£90.00)
What will be discussed during the Treatment Consultation?

The clinician will discuss the treatment options available to the patient, formulate a treatment plan, and communicate any agreed treatment plan to the patient’s GP. The clinician will also explain the option of Signature Pharmacy vs Local Pharmacy and how the patient can book Prescription & Titration. Please note that we do not enter any treatment plan without communicating with your GP. It's important you take this into consideration ahead of any booking.

What is titration?

Titration refers to the process of finding the optimal maintenance dose of medication that provides maximum symptom relief with minimal side effects.

The titration process involves gradually adjusting the dosage of the medication based on the individual patient's response and tolerance. During titration our titration team closely monitors patient symptoms and side effects. They start with a lower initial dose and gradually increase it until the desired therapeutic effect is achieved or until side effects become intolerable. By carefully titrating the medication, the team aims to strike a balance between effectively managing ADHD symptoms and minimising any adverse effects.

This personalised approach helps ensure that each patient receives the most appropriate and effective dose for their specific needs, optimising their treatment outcomes.

The Prescription and Titration fee of £140 is made up of £35 for the private prescription and £105 for the 4 week Titration process. *Please note that this fee does not cover the cost of the medication

Why does a titration prescription cost more than a repeat prescription?

It doesn't. Our prescription fee is £35.00.

However, the reason One Month Prescription & Titration costs more is to account for the costs for interacting with our titration team during your month of titration. This communication is achieved by the weekly feedback forms at least once a week (multiple submissions are possible).

How do I order a titration prescription (Prescription & Titration)?

Head to the booking section on the ADHD treatment page and select the Prescription & Titration option.

How long does it take for my titration prescription to be delivered?

INFORMATION TO BE CONFIRMED

What is the difference between 'Signature Pharmacy' and 'Local Pharmacy'?

INFORMATION TO BE FILLED

Can you email my prescription to me?

We cannot email prescriptions to you or your pharmacy if you are prescribed controlled drugs, i.e., for stimulant medication. If you are prescribed non-stimulant medication it is possible to email a prescription.

When I order a prescription does it include the cost of medication?

No. This cost is separate. The patient must dispense their medication at a pharmacy of their choosing. We have a pharmacy partner, Signature Pharmacy that patients may use. If patients don't wish to use Signature Pharmacy we will deliver their prescription to their chosen address for them to dispense locally at a pharmacy near them.

Do I have to do anything whilst titrating?

It's imperative that you engage with us throughout your titration period. We will send you weekly reminders to complete your titration feedback forms. Your weekly reports will be responded to by our Titration Team who will pick up on the themes you note in your feedback to us and accordingly guide and advise you throughout the month. Your engagement in this aspect of your ADHD journey is essential.

Where can I find the titration forms?

If you have recently booked Prescription & Titration you will find the forms in your booking confirmation.

Additionally, you will receive weekly reminders throughout your titration phase with an embedded link to the form. Please only submit the form if you are titrating.

I'm currently titrating and I've reached a dose I'm happy with, what do I do?

Inform our team of this via the titration feedback forms. If they are happy they will advise you to book a Post-Titration Follow-Up to confirm your maintenance dose and communicate this to your GP through a Post-Titration Follow-Up letter and a proposal of shared care.

When can I order a repeat prescription?

Repeat Prescriptions are only to be ordered once a maintenance dose is achieved. If you have reached this through your titration phase please communicate this with the titration team via the feedback forms you have access to and you will accordingly be advised to book at Post-Titration Follow-Up. During your follow-up your clinician will review your titration period, and if everything is in order they will sign off on a maintenance dose for you, after which you will be able to book a Repeat Prescription via our website.

When can I book my Post-Titration Follow-Up?

You may book your Post-Titration Follow-Up once you have been advised to do so by our Titration Team. This will typically be after you have informed the team, through your titration feedback forms, that you have reached a dose that you are happy with.

What is shared care?

A 'Shared Care Agreement' or SCA is an agreement between us (the specialist provider), yourself, and your GP. It enables the care and treatment you receive for ADHD to be shared between the psychiatrist and your GP.

Once you have completed Titration, had a successful Post-Titration Follow Up Appointment and found your agreed Maintenance Dose, we will work towards sending a Shared Care Proposal to your GP asking them to prescribe on our behalf.

What is a repeat prescription?

A repeat prescription is a prescription that can only be ordered by patients that have had a maintenance dose agreed in the Post-Titration Follow-Up.

What happens during and after my Post-Titration Follow-Up?

During the Post-Titration Follow-Up your clinician will go through your period of titration and subject to their clinical opinion will propose a maintenance dose (also known as stable dose). After the assessment your clinician will begin to prepare your Post-Titration Follow-Up and Shared Care Agreement letters.

What can I do if my GP will not accept shared care?

If you find yourself in this position we empathise with you. Unfortunately, it is not in our control as to whether your GP will accept shared care. If your shared care proposal has been rejected and you wish to continue medicating you can do so with us privately.

Why do I need to attend the Six Month Reviews?

The Six Month Review is necessary for all medicating patients.

This is regardless of a patient's shared care status.

Our role as the specialist is to maintain oversight and to ensure that you continue to safely take your ADHD mediation between specialist reviews.

This is in line with NICE guidelines.

What if I take a break from my medication for more than 3 months?

If a patient takes a break from medication for more than 3 months, they will be required to book a Treatment Consultation to be reviewed by a clinician before they can resume any prescriptions.

What if I want to switch to an alternative medication during the titration process?

If a patient is undergoing the titration process and wishes to switch to an alternative medication, they must book a Treatment Consultation through our website to discuss this with a clinician formally so that a new treatment plan can be discussed and proposed.

Other treatments

Learn about some of the other common types of treatments we cater for