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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 problems as well as an increased demand in the world. Our service provides private ADHD adjustment instead of waiting for NHS funding through Right to Choose. Our assessment fees cover the cost of a single prescription. Titration A highly skilled consultant psychiatrist will conduct a thorough evaluation of your ADHD. This will include an examination of your medical history as well as an assessment using the common ADHD rating scales and questionnaires. After your examination, you will be informed that medication may be beneficial for your situation. This will be discussed during your follow-up appointment (which can take place in person, by video link or over the phone). Your clinician will explain the different options available for you to take medication and if you decide to start on medication we will suggest titrating the dose to optimise the balance of benefits and side effects for you. This is a process which may take several weeks, and involves adjusting your child's medication slowly until the right balance is achieved. It's not uncommon to have to titrate up to three different medications before you can find the one that is most suitable for your child's ADHD. It is crucial that parents take part in the titration and keep an eye out for their child's behavior so that they can let the doctors 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 provided with an individual prescription that you will need to pay for at the pharmacy (this is not included in the consultation fee). You will be required to attend regular appointments every six months to monitor your medication – this includes blood pressure and pulse readings. Annual checks are also required. Follow-up appointments After the evaluation is completed and you are satisfied, you can schedule appointment with the psychiatrist. The appointment usually takes place via a zoom video call however in some instances it is possible to have an audio-only consultation (again at an extra cost). In this session, we'll discuss treatment options and decide on a custom-made ADHD medication titration strategy. This will include a discussion and review of your dosage of medication, as well as any adverse effects you might be experiencing. These titrations cost PS150 for face-toface sessions and PS60 via video or telephone consultation. The pharmacy will be charged for any medication costs. The psychiatrist will ask you questions regarding your family history and the impact of your ADHD symptoms on your daily life and any relationship problems or mental health issues you might be suffering from. This is due to the fact that ADHD can be an inheritable condition, and it is crucial that we assess any family history that might suggest that you are at risk of developing the disorder. During this examination, it is crucial that you are truthful and honest with the clinician who will use the information you provide to determine if you are able to meet the diagnostic criteria for ADHD. This is a crucial step because a wrong diagnosis could result in an inappropriate prescription of medication. 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 area. This can be done in the wake of your diagnosis if you are eager to begin treatment immediately, or within two weeks if want to think about the implications of your diagnosis and the options that are available to you. We suggest that if you are unsure of your preferences, you speak with your GP prior to scheduling your private examination. Some providers have different policies regarding whether they require a GP letter. Make sure that your GP accepts the Shared Care Agreement, which means that you will be referred to them once you leave the clinic to get a prescription medication. Medication Medication is a key element of the process for many who are seeking an official ADHD diagnosis. The process of getting a prescription from an NHS psychiatrist can be difficult and long-winded. NHS waiting lists can be extremely long and GPs might be reluctant to refer patients 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). You can choose a service that offers an assessment that is private and the titration. This will help you reduce time and be more convenient, especially if you have a busy work schedule. Once you've been diagnosed, your doctor will evaluate you to determine if require medication titration. You will be asked to fill out forms that vary by provider but the most important ones are self-report questionnaires and medical histories from childhood and adulthood. These forms will allow your doctor to determine if there are reasons that suggest you shouldn't be taking ADHD medication, even when they've been prescribed. If you are titrated, the medication will consist of stimulants and nonstimulant medicines. These will be carefully tested and monitored to find the right combination for you. The titration process can be lengthy and may require a few extra appointments before you're able to stay on your dosage. The frequency of your follow-up appointments will depend on the type and amount of medication you're taking. They can be scheduled for monthly or quarterly. Your physician will make sure whether you are stable on the medication, document any side effects you've experienced and make any necessary adjustments to ensure that you remain on a safe dosage. You'll also have to attend a regular health check that may include blood pressure, pulse and weight readings as well as an annual review. For adhd medication could be because they are content with their medication and don't need an additional discussion regarding their titration. If, however, they require further discussions regarding the titration process and treatment plan, it is possible that they will be referred back to the private clinic that made their initial assessment. In this instance the titration will be included in the consultation cost. The medication will be administered via an individual prescription. This could cost more than an NHS prescription because the pharmacy will charge for the medication.