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Private ADHD Titration There is a nationwide shortage of medication to treat ADHD symptoms. This is due to manufacturing problems and an increased demand in the world. Our service provides private ADHD treatment instead of waiting for NHS funding via Right to Choose. Our assessments are free and include the cost of one prescription. Titration A thorough evaluation of your ADHD symptoms will be conducted by an experienced consultant Psychiatrist. This will include 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 specific situation. This will be discussed during your follow-up appointment (which may be scheduled in person, via video link, or over the phone). Your physician will go over the different options for medication available. If you decide to start taking medication, we can help you the option of titrating your dose to ensure the best balance of benefits and side effects for you. This process could take several weeks and requires gradually altering your child's medication until the appropriate balance is reached. It is not unusual to need to titrate three or four medications before finding the best one for your child's ADHD symptoms. Parents must participate in this titration process, and keep an watchful eye on their child's behavior to let the doctor know whether the medication is helping or causing adverse effects. Unless you have decided to return to NHS treatment the medication you take will be issued with a prescription from a private pharmacy that you'll have to pay for at the pharmacy (this is not included in your consultation fees). You will need to keep up with your appointments every six months to monitor your medication. This includes blood pressure and pulse measurements. Annual reviews are also mandatory. Follow-up appointments After the evaluation is completed and you are satisfied, you can schedule follow-up appointments with the psychiatrist. Typically, the appointment will take place through a video call using zoom but in certain circumstances it might be possible to do an audio only consultation (again at an additional cost). We will then go over treatment options and choose a bespoke, individualised ADHD medication adjustment. This will include an assessment of your medication dosage and a discussion around any side effects you might be experiencing. These titrations cost PS150 for face-to-face sessions and PS60 via video or telephone consultation. The pharmacy will charge you for any charges for medication. The psychiatrist will ask questions regarding your family history and the effects of your ADHD symptoms on your life and any relationship problems or mental health issues you may be experiencing. This is because ADHD is a genetic disorder and it is important to look into any family history that could indicate that you're at risk of developing the disorder. It is crucial that you are honest and open 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 because if you don't do it, it could result in an incorrect diagnosis, and thus an incorrect prescribing of medication. If you've decided you'd like to receive treatment for your ADHD We will schedule a follow-up appointment with one of our psychiatrists who specialise in this field. If you'd like to start treatment right away you can start treatment at the time of diagnosis. You can also take for two weeks before considering the implications of the diagnosis and what options you have. If you aren't sure what your preference is We suggest you speak with your GP before booking your private appointment as certain providers have different policies about whether they require an GP referral letter or not. We also recommend that you check whether your GP accepts a 'Shared Care Agreement', which means that once discharged from the clinic you will be returned to them for the medication prescription. Medication Medication is an integral element of the process for many people who are looking for an official ADHD diagnosis. It can be difficult to get an appointment with a psychiatrist on the NHS. NHS waiting lists can be extremely long and GPs may be reluctant to refer patients to specialist services. Requesting 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 that provides a private assessment service and titration. This will help you reduce time and be more convenient, especially when you are on a tight work schedule. Once you have been identified as a candidate for this treatment, your chosen clinician will evaluate you and determine whether or not you require to be adjusted on your medication. You'll have to complete forms that are different for each provider but the most frequent ones are self-reporting forms and medical histories that go to childhood and adulthood. These forms will help your clinician determine if there are factors that could mean that you shouldn't be taking ADHD medication, if they have been prescribed. If you are on a titration medication, it will typically include a mix of non-stimulant and stimulant medications. These will be carefully trialled and monitored to find the most suitable combination for you, taking into consideration any existing conditions you have. adhd titration adjustments can be lengthy and may require multiple appointments before you are stable. Depending on the kind of medication you're taking, follow-up appointments can be scheduled either monthly or quarterly. This will involve your clinician making sure that you are on the right medication, recording any side effects you've experienced and making any necessary adjustments to ensure you are on a safe dosage. You are required to attend an annual review as well as a routine health exam that includes pulse, blood pressure and weight measurements. Some people may be satisfied with their medication, and don't require discussing their titration further. If you need to discuss your titration plan or treatment plan more thoroughly, it is possible that you'll be sent back to the private doctor that performed your initial evaluation. In this scenario the titration is included in the consultation cost. The medication will be administered via an individual prescription. This may cost more than prescriptions from the NHS since the pharmacy will charge you for the medication.