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Private ADHD Titration There is currently a nationwide shortage of medications that treat ADHD symptoms. This is due both to manufacturing issues and an increased demand in the world. Our service can provide private ADHD titration as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees cover the cost of a single prescription. Titration A highly experienced psychiatrist consultant will conduct a comprehensive assessment of your ADHD. This includes a thorough medical history and an evaluation using the common ADHD questionnaires and rating scales. Following your assessment you will be advised whether medication may be beneficial for your situation. This will be discussed at your follow-up appointment (which may be scheduled in person, via video link or by phone). steps for titration will explain to you the various options for medication and, if you choose to begin taking medication, we will recommend titrating dosage to ensure the balance of benefits and side effects for you. This is a process which can take several weeks, and involves adjusting the dosage of your child's medication gradually until the appropriate balance is reached. It's not uncommon to need to titrate three or four medications before determining the most effective one for your child's ADHD symptoms. Parents must take part in this process of titration, and keep an eye on their child's behaviour to let the doctor know whether the medication is working or causing adverse effects. If you decide to go back to NHS treatment you will receive a private prescription for your medication. You will have to pay for your prescription at the pharmacy. This is not included in the consultation cost. method titration 'll be required to 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 assessment is completed, you will be able to make follow up appointments with the psychiatrist as appropriate. Typically, the appointment will take place via a zoom video call however in some instances it might be possible to schedule an audio only consultation (again at an additional cost). We will then discuss treatment options and decide on an individualised, bespoke ADHD medication adjustment. This will include a discussion and review of your medication dosage and any adverse effects you might be experiencing. The cost of these titration sessions is PS150 for face-to-face sessions and PS60 for online or telephone video consultations. The cost of medication is additional and are paid directly to the pharmacy. The psychiatrist will also inquire with you about your family background and the impact your ADHD symptoms have on your life, including any issues with relationships you may be experiencing or other mental health issues you may be suffering from. ADHD is a genetic condition, so it's important to look into your family's history in order to determine if you are at a higher chance of developing this disorder. It is crucial that you are honest and truthful with the clinician during this assessment, as the information they gather will be used to determine whether your ADHD fits the diagnostic criteria. This is an essential step in the process, as failing to do so could result in an incorrect diagnosis, and thus an incorrect prescribing of medication. If you've decided you'd like to be treated for your ADHD, we will then schedule a follow-up appointment with one of our psychiatrists who specialise in this area. This can be done at the time of your diagnosis if want to start treatment right away, or within two weeks if you want to think about the implications of your diagnosis and the possibilities available to you. If you aren't sure what your preference is We suggest you talk to your GP prior to booking your private examination as some providers have different rules regarding whether they require a GP referral letter or not. We also recommend that you check whether your GP accepts a “Shared Care Agreement', which means that once you are discharged from the clinic, you will be sent back to them to get the prescription for medication. Medication For many people who seek an individual diagnosis of ADHD medication is a key aspect of their journey. Getting an appointment with an NHS psychiatrist can be difficult and lengthy. NHS waiting lists are notoriously long and GPs are often reluctant to refer patients to specialist services. Asking your GP to refer through Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). You can choose a service that provides a private assessment service and the titration. This can reduce your wait time significantly and is more convenient if you're working and have a full 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 in forms that differ by doctor but the most common ones are self-report questionnaires as well as medical histories from childhood and adulthood. These forms will allow your doctor to determine if there are factors that could mean that you shouldn't be taking ADHD medication, when they've been prescribed. If you are being titrated on medication, this will usually include a mix of non-stimulant and stimulant medications. They will be carefully tested and monitored to find the most effective combination for you, taking into consideration any medical conditions you may have. The titration process may be lengthy and may need a few extra appointments before you're stable on your dosage. Depending on the type of medication you are taking, follow-up appointments could be scheduled monthly or quarterly. Your physician will make sure whether you are safe with the medication, document any side effects you have experienced and make any needed adjustments to ensure that you remain on a safe dosage. You will be required to attend an annual review as well as a regular health check-up that includes blood pressure, pulse, and weight measurements. For some individuals it could be because they are happy with their medication and don't need any further discussion on their titration. If, however, they do need further discussions about their titration and treatment plans, it's possible that they will be passed back to the same private clinic that made their initial assessment. In this scenario the titration is included in the consultation fee. The medication will be administered via a private prescription. It could cost more than an NHS prescription because the pharmacy will charge for the medication.