ADHD Medication & Titration Information

Receiving a diagnosis of ADHD can bring a mix of relief, validation, and uncertainty. At ISC-CARE, we provide trauma-informed, neurodiversity-affirming care that goes beyond the diagnosis—supporting you with structure, tools, and guidance to help you thrive.

Considering Medication?

Following your ADHD diagnosis, you may choose to begin medication. This starts with a titration phase—a structured 12-week period where our prescriber works with you to identify the right medication and dosage through regular reviews (typically every 28 days).

Although therapy is not required during titration, we highly recommend it. Therapy provides a space to adjust emotionally, build coping strategies, and strengthen resilience. Many clients find that combining medical and therapeutic support creates the most effective, balanced start to ADHD treatment.

What is ADHD Titration?

Titration is the process of safely finding the right ADHD medication and dosage for you. Everyone responds differently to medication, so this step-by-step approach allows our prescribers to monitor progress, check for side effects, and make careful adjustments.

At ISC-CARE, our titration programme usually takes place over 12 weeks, with three structured prescriber sessions. During these reviews, we will assess how the medication is working, whether the dosage needs to be changed, and how you are managing day-to-day.

What to Expect from Titration

• For many people, three sessions are enough to find an effective medication and dose that supports focus, reduces symptoms, and feels manageable.

• For others, titration may take a little longer. Some people need additional sessions to explore alternative medications or fine-tune the dosage.

• For some individuals, medication may not provide the desired results, or side effects may outweigh the benefits. In these cases, we will guide you through other treatment options, including therapy and lifestyle strategies.

No matter the outcome, our focus is always on providing safe, ethical, and supportive care, tailored to your needs.

Our Approach

We believe medication is only part of the picture. Alongside titration, we encourage therapy to support emotional adjustment, resilience, and long-term success. Many clients find that the combination of medical and therapeutic support provides the most effective start to their ADHD journey.

Our goal is to help you feel informed, supported, and empowered—whether or not medication turns out to be the right choice for you.

ECG Requirement

All clients who wish to begin medication must also have had an ECG within the last 3 months. This can usually be requested from your GP, and we are happy to help facilitate the request. If your GP is unable to provide an ECG promptly or declines, we can carry out the test at our Liverpool clinic for £100.

An ECG is an essential part of the process, as it helps to identify any underlying heart issues that could make stimulant ADHD medications unsafe. This ensures your treatment is both effective and safe from the very beginning.

Options and Pricing

We are committed to keeping our services accessible and ethically priced.

• ECG (If not available through GP): £100

• Titration Package (3 prescriber sessions): £390 (paid upfront)

• Titration + Therapy Package (3 prescriber + 3 therapy sessions): £510 (paid upfront)

• One-off Titration Session: £145

• Individual Therapy Session: £65

• Therapy Package (6 sessions): £340

Medication is dispensed by Signature Pharmacy, who will invoice you directly and deliver your medication to your home once payment is made.

After Titration: Shared Care

Once you are stable on medication, we may be able to initiate a Shared Care Agreement with your GP. This allows your NHS GP to take over prescribing, while ISC-CARE continues to provide ADHD reviews every six months.

• Shared Care setup fee: £50

• Reviews every 6 months: £120

We currently support over 300 Shared Care Agreements across the UK, though each GP practice has the right to decide whether to accept private shared care. We recommend checking in advance with your GP.

If Shared Care is declined, prescriptions can continue privately through us:

• Private prescription: £33.50 (max 28-day supply)

• Ongoing reviews: £120 every 6 months

Therapy at ISC-CARE

We believe ADHD is a difference—not a deficit. Therapy provides the tools to reframe challenges, improve self-esteem, and build lasting strategies for everyday life.

Our CBT-informed therapy can support you with:

• Managing executive dysfunction

• Building emotional resilience

• Reducing anxiety and overwhelm

Next Steps

If you would like to begin titration or therapy, please reply to this email or contact our team and we will get you booked in.

If you are feeling uncertain or overwhelmed, remember—we are here to help, whether you need clarification, support, or simply a listening ear, please reach out to one of the team on - 0151 3160470

(Please note: Titration appointments are available only to existing ISC-CARE clients who have received a formal ADHD diagnosis and completed the required medical checks, including ECG and provision of their GP summary.)