ADHD medication titration & shared care.
A 12-week pathway to find the right ADHD medication and dose, managed by consultant psychiatrists, with weekly to fortnightly monitoring built in. After titration we hand over to your GP under shared care, or stay with you long-term.
Prescribers, not just diagnosers.
Every clinician on the titration team is a GMC-registered consultant psychiatrist who prescribes daily and knows the ADHD formulary inside out, not a generalist signing off scripts.
A pathway, not a prescription.
Titration is the part most services do badly, short appointments, slow responses, GPs declining to prescribe. Ours is built around what good prescribing actually needs: time, monitoring, and a clinician who picks up the phone.
Initial review
A consultant psychiatrist confirms your suitability, reviews any existing prescriptions, and writes the first prescription. We agree the trial medication and starting dose together.
Stabilisation
Weekly check-ins by secure messaging or video. Dose adjustments where needed, we track sleep, appetite, side effects and target symptoms together.
Optimisation
By this point most people are settled on a dose. We focus on timing, edge cases, and ironing out any persistent side effects.
Stable
Final adjustments and a comprehensive review. You leave the pathway with a clear dose, a clear plan, and a written summary your GP can use.
Shared care or annual review
Most GPs accept shared care for ADHD medication once stable. We draft the agreement; you choose whether to hand over or stay with us for an annual review.
Three ways people arrive.
We pick up the pathway from whatever state you're in, fresh diagnosis, mid-failure, or transferring from another team.
You've just had your assessment and want to start treatment without losing momentum. We pick up directly from the report, ours or anyone else's.
You started medication elsewhere and never settled on a dose that works. We restart properly, with monitoring you can see and a clinician you can reach.
You've aged out of CAMHS, or your local NHS service has paused titration. We continue the work, with a full handover and zero duplicated forms.
Common questions, answered honestly.
Most questions cluster around medication, side-effects and shared care. Here's what we get asked most.
Do I need to have my diagnosis from you?
No, we accept ADHD diagnoses from any GMC-registered psychiatrist or NHS clinic. Bring your report and we'll start from there at the initial review.
Will my GP take over prescribing under shared care?
In most cases, yes, once you're stable on a dose. We draft the shared-care agreement and provide everything your surgery needs to take over prescribing on the NHS. If your surgery declines, we keep prescribing for as long as you need.
What if a medication doesn't suit me?
We try another. The 12-week pathway is a process, not a single prescription, switching medication is part of titration where needed, and there's no extra fee for it within the pathway.
Is this available for children & young people?
Yes. Children's titration runs the same 12-week pathway with paediatric-experienced prescribers. Reviews include a parent and the young person.
What happens after the 12 weeks?
Either we hand over to your GP under shared care, or you stay with us on an annual review (£180). Most people only need to see us once a year once they're stable.
Start titration this week.
Most people start within a week of getting in touch. If you've got questions about medication or shared care, we offer a free 15-minute call with a clinician first.