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Private ADHD Titration There is a national shortage of medications to treat ADHD symptoms. This is due to manufacturing problems and a growing global demand. Our service can offer private ADHD titration as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees cover the cost of one prescription. Titration A highly experienced consultant psychiatrist will conduct a thorough evaluation of your ADHD. This includes a complete medical history, and an assessment using the common ADHD questionnaires and rating scales. After adhd titration service , you will be informed whether medication is appropriate for your particular situation. This will take place at your follow-up appointment (which can be done in person by video link, in person or via phone). Your physician will explain to you the different options available for you to take medication and, if you choose to start on medication we will suggest titrating the dose to optimise the balance of benefits and side effects for you. This process may take several weeks and it involves gradually altering your child's dosage until the proper balance is achieved. It is not uncommon to to adjust up to three different medications until you discover the one that best fits your child's ADHD. It is crucial that parents participate in the titration process and be aware of their child's behavior so that they can inform the doctor if the medication is helping or causing adverse effects. If you decide to return to NHS care, your medication will be given as a prescription from a private pharmacy that you'll need to pay for at the pharmacy (this is not included in your consultation fee). You must attend six monthly appointments to monitor your medication – this includes blood pressure and pulse readings. Annual reviews are also required. Follow-up appointments After the evaluation is completed after the assessment is completed, you can make follow-up appointments with the psychiatrist. The appointment is usually done via zoom video call. However, in some cases, it may be possible to have an audio-only appointment to be scheduled (again with an additional cost). In this session, we'll discuss any treatment options and decide on a custom-made ADHD medication titration plan. This will include an assessment of your medication dose and an examination of any negative side effects you may be experiencing. The cost for these titration appointments is PS150 for face to face sessions and PS60 for online or phone video consultations. The pharmacy will charge you for any cost of medication. The psychiatrist will ask you questions about your family history, the effects of your ADHD symptoms on your life and any relationship problems or mental health issues that you may be experiencing. ADHD can be a genetic condition, so it's important to examine your family history to determine if you're at a higher chance of developing this condition. During this examination, it is vital that you are truthful and honest with your doctor, as they will use the information you provide to determine if you have the diagnostic criteria for ADHD. This is an important step because a wrong diagnosis could lead to inappropriate medication prescription. If you have decided that you would like to be treated for your ADHD We will arrange a follow up appointment with one of our psychiatrists who specialize in this field. This can be done in the wake of your diagnosis if you want to start treatment immediately, or within two weeks if you want to consider the implications of your diagnosis and the alternatives available to you. We suggest that if are unsure about your preferences, you speak to your GP prior to booking your private assessment. Certain providers have different guidelines regarding whether they require an GP letter. Check if your GP accepts a Shared Care Agreement, which means that you will be referred to them once you leave the clinic for prescription medication. Medication Medication is a key aspect of the treatment process for many who are seeking a private ADHD diagnosis. It isn't easy to obtain an appointment with a psychiatrist on the NHS. NHS waiting lists are notoriously long, and GPs may be reluctant to refer patients on to specialist services. One method to avoid this is to request your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). This means that you can choose a provider that offers an assessment and titration. This will help you reduce time and be more convenient, especially in the event of a hectic work schedule. If you are recommended by this method your chosen doctor will assess you and decide whether or not you need to be titrated on medication. You will be asked to fill out forms that differ by doctor but the main ones are self-report questionnaires as well as medical histories from childhood to adulthood. These forms will assist your doctor determine any issues that could indicate that you shouldn't be taking ADHD medications if they are prescribed. If you are titrated on medication, it is likely to include a mix of stimulants and non-stimulant medications. They will be tested and monitored to find the best combination for you. The titration process can be a lengthy process and may require several extra appointments before you are stable. Depending on the kind of medication you are taking, follow up appointments could be scheduled monthly or quarterly. Your doctor will ensure whether you are stable on the medication, note any side effects you've experienced and make any necessary adjustments to ensure that you remain on a safe dose. You'll also have to attend a routine health check, which could include blood pressure, pulse and weight readings and an annual review. For some people it could be because they are happy with their medication and don't need an additional discussion regarding their titration. However, for those who require further discussion about the titration process and treatment plan, it is possible that they will be passed back to the same private clinic that performed their initial assessment. In this instance the titration is included in the consultation fee. The medication will then be provided through the private prescription. This could cost more than prescriptions from the NHS because the pharmacy will charge for the medication.