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Private ADHD Titration There is a national shortage of medication to treat ADHD symptoms. This is due both to manufacturing issues and an increased global demand. Our service is able to offer private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessments cost include the cost of one prescription. Titration A highly experienced consultant psychiatrist will conduct a comprehensive assessment of your ADHD. This includes a medical history and an assessment using the typical ADHD rating scales and questionnaires. After your assessment You will be advised that medication may be beneficial for your particular situation. This will be discussed during your follow-up appointment (which could be in person, by video link, or over the phone). Your doctor will go over the different options for medication available. If you decide to start medication, we can help you to titrate your dose to ensure the best balance of benefits and side effects for you. This process can take several weeks. It requires adjusting your child's dosage gradually until the proper balance is achieved. It is not uncommon to to adjust up to three different medications before you find the one that best suits your child's ADHD. It's important for parents to be involved in this titration process and keep an eye on their child's behavior, so that they can inform the doctor whether the medication is helping or causing adverse effects. If you decide to go back to NHS treatment, you will receive an individual prescription for your medication. You will be required to pay for your prescription at the pharmacy. This is not included in the consultation fee. You must attend six-monthly appointments to check your medications. This includes pulse and blood pressure measurements. Annual reviews are also mandatory. Follow-up appointments After the assessment is completed, you will be able to book appointment with your psychiatrist, if appropriate. The appointment is typically conducted through a zoom video call. However, in certain instances, it could be possible to have an audio-only consultation to be scheduled (again with an additional cost). At this point, we will discuss any treatment options we have and agree upon a bespoke individualised ADHD medication titration strategy. This will include an assessment of your medication dosage as well as a discussion of any possible side effects you might be experiencing. These titration sessions cost PS150 for face-to-face sessions and PS60 via telephone or video consultation. The pharmacy will be charged for any cost of medication. The psychiatrist will also inquire with you about your family history and the impact that your ADHD symptoms impact your life, including any relationship issues you might be having or other mental health issues you may be experiencing. This is due to the fact that ADHD can be an inheritable condition, and it is important to examine any family history that might suggest that you are at risk of developing the disorder. It is important that you are honest and truthful with your doctor during this assessment, as the information they receive will be used to determine whether your ADHD fits the diagnostic criteria. This is an essential step in the process since a failure to do so could lead to an inaccurate diagnosis and therefore inappropriate prescribing of medication. If you decide to seek treatment for ADHD, we'll arrange an appointment for a follow-up visit with a psychiatrist who is specialized in this field. This can be scheduled at the time of your diagnosis if you are keen to begin treatment right away, or within two weeks if you want to think about the implications of your diagnosis and the possibilities available to you. We suggest that if are unsure about your preferences, talk with your GP prior to scheduling your private assessment. Certain providers have different policies regarding whether or not they require the submission of a GP letter. Find out if your GP accepts a Shared Care Agreement, which means you will be referred to them when you leave the clinic to get a medication prescription. Medication The medication process is an essential element of the process for many people who are seeking an official ADHD diagnosis. Getting prescriptions from an NHS psychiatrist can be a challenge and time-consuming. NHS waiting lists are notoriously long and GPs are often reluctant to refer patients to specialist services. Asking your GP to refer you to Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). You can choose a service who offers a private assessment service and titration. This will help you to save time and also be more convenient, especially if you have a busy schedule. Once you've been referred, your clinician will evaluate you to determine if you need medication adjustment. You will need to complete forms that are different for each provider but the most frequent ones are self-reporting questionnaires and medical histories that go to childhood and adulthood. They will help your physician identify any conditions that could indicate that you shouldn't be taking ADHD medications if they're prescribed. If you are titrated on medication, this will usually consist of non-stimulant and stimulant medications. They will be carefully tested and monitored to determine the most effective combination for you, taking into consideration any existing conditions you have. The titration process can be lengthy and may need some additional appointments before you are stable on your dose. what is titration adhd of your follow-up appointments will be contingent on the type and quantity of medication you are taking. They could be scheduled monthly or quarterly. The appointment will involve your doctor checking that you are taking the correct medication, recording any side effects you have had and making any adjustments needed to ensure that you're in a safe dosage. You'll also be required to undergo a regular health check that may include blood pressure and pulse readings, as well as weight and weight measurements and an annual review. For some individuals it could be because they are happy with their medication and don't need any further discussion on their titration. If you're required to discuss your titration or treatment plan further it is likely that you'll be referred back to the private doctor that performed your initial evaluation. If this occurs, the titration appointment will be included in their consultation fee, and they will receive their medication via a private prescription (see Consultation fees above). This could cost more than an NHS prescription as the pharmacy will charge for the medication.