ADHD: Adults (18+)

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

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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.

• 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 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

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)

Temporary answer

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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.

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.

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.

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.

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

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

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.  

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)

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.

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

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).

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

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INFORMATION TO BE CONFIRMED

INFORMATION TO BE FILLED

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.

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.

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.

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.

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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.

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.

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.

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.

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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.

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.

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.

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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.

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.

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.