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Consultation Fees

Consultation fees differ for standard and ADHD assessments and treatments. The ADHD assessment and treatment regime involves more complex pre-assessment and post-assessment (titration) activities.

All consultation fees must be paid by BACS bank transfer at least 24-hours in advance of each appointment.

 

For patients requiring on-going care (e.g. ADHD titrations, or on-going regular review / therapy sessions) patients are advised to block-book and purchase a course of sessions.

Standard Psychiatric Assessment and Treatments

INITIAL ASSESSMENT (75-minutes)

(Includes detailed written report, sent to patient and their GP)

Fee = £450.00

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FOLLOW-UP APPOINTMENTS (50-Minutes)

£150.00 each

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ADDITIONAL GP LETTERS

£50.00 each

ADHD Assessment and Treatments

ADHD: PRE-ASSESSMENT ACTIVITIES

  • Patient to complete ASRS and Informant Questionnaire

  • Ask patient to acquire and send me their SCR from their GP

  • Patient to provide evidence of BP and HR

  • Dr Sessa to analyse and score all questionnaires ahead of Initial assessment

  • Date booked for Initial Assessment when all information completed and returned by patient.

Fee = £200

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INITIAL ASSESSMENT SESSION (60-90 Minutes)

  • Remotely/Zoom or in-person in clinic in Bristol

  • Go through results of all questionnaires with patient.

  • Take full psychiatric history.

  • Assign ADD/ADHD diagnosis if indicated.

  • Discuss management plan of titration sessions.

  • Post FP10 for first prescription to patient.

  • Make appointment for first titration review session.

  • Patient to purchase home monitor BP machine.

Fee = £550.00

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Re-ASSESSMENT SESSION for patients with a previous diagnosis of ADHD 

(60-Minutes)

  • Remotely/Zoom or in-person in clinic in Bristol

  • Patient to provide a copy of previous diagnosis report

  • Confirm ADD/ADHD diagnosis if indicated.

  • Discuss management plan of titration sessions.

  • Post FP10 for first prescription to patient.

  • Make appointment for first titration review session.

  • Patient to purchase home monitor BP machine.

Fee = £450.00

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EACH TITRATION APPOINTMENT (30-Minutes)

  • Dr Sessa reviews response to dose

  • Patient provides measurements of BP and HR

  • Dr Sessa write's new prescription and posts to patient.

  • NOTE: Patients will need all prescriptions privately for at least 3-months, before being referred back to the GP for Shared Care.

  • Number of titration sessions required will depend on the patient's response to treatment.

​Fee = £125.00

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FINAL END-OF-TITRATION SESSION (45-minutes)

  • Clarify final, stable dose of medication

  • Re-do ASRS scores

  • Dr Sessa writes letter to GP requesting Shared Care thereafter.

  • Alert patient that GP may not agree to Shared Care arrangement. If that happens:

    • Advise different GP partner or practice.

    • Patient can continue getting prescribed by me.

Fee = £200.00

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WRITING AND SENDING ON-GOING PRIVATE ADHD PRESCRIPTIONS

(if GP does not take over Shared Care)

Fee = £100 for sending a prescription every month

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