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Private ADHD Titration There is currently a nationwide shortage of medication that helps to treat ADHD symptoms. This is due to manufacturing problems and increased global demand. Our service is able to provide private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees include the cost of a single prescription. Titration A thorough assessment of your ADHD symptoms will be carried out by a highly experienced consultant psychiatrist. This will include a medical history and an assessment using the standard ADHD rating scales and questionnaires. After your assessment You will be advised whether medication is appropriate for your situation. This will happen at your follow-up appointment (which could be in person, via video link or via phone). Your clinician will explain the different options available for you to take medication and if you decide to start on medication we will offer to titrate dosage to ensure the balance of benefits and side effects for you. This process could take several weeks, and it involves gradually altering your child's medication until the appropriate balance has been achieved. It's not uncommon to have to titrate two or three medicines before determining the most effective one for your child's ADHD symptoms. It is crucial that parents take part in the titration and be on the lookout for their child's behavior so that they can inform the doctor whether the medication is working or causing adverse effects. If you decide to go back to NHS treatment, you will receive an individual prescription for your medication. You will have to pay for your prescription at the pharmacy. This is not included in the consultation fee. You must 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 Once the assessment is completed after the assessment is completed, you can make appointment with the psychiatrist. The appointment will usually be conducted via zoom video call. However, in some cases, it may be possible for an audio-only appointment to be scheduled (again with an additional cost). At this point we will discuss treatment options and agree upon a bespoke individualised ADHD medication titration plan. This will include an assessment of your medication dosage as well as a discussion of any possible side effects you might be experiencing. The cost of these titration consultations is PS150 for face-to-face sessions and PS60 for online or phone video consultations. Costs for medication are extra and are paid directly to the pharmacy. The psychiatrist will ask questions regarding your family history, the effects of your ADHD symptoms on your daily life and any relationship problems or mental health issues you may be experiencing. This is due to the fact that ADHD is an inheritable condition, and it is essential that we assess any family history that might indicate that you're at risk of developing the disorder. During this assessment it is vital that you are truthful and open with the doctor in the sense that they will be using the information you provide to determine whether you are able to meet the diagnostic criteria for ADHD. This is a crucial step, as the wrong diagnosis can lead to inappropriate medication prescription. If you've decided that you'd like to receive treatment for your ADHD, we will then arrange a follow up appointment with one of our psychiatrists that specialize in this field. If you'd like to begin treatment immediately it is possible to start treatment at the time of diagnosis. Or you can wait for two weeks before considering the implications of the diagnosis and what options you have. We suggest that if you are unsure of your preferences, you talk with your GP prior to booking your private examination. Some providers have different guidelines regarding whether they require the submission of a GP letter. Check if your GP accepts the Shared Care Agreement, which means you will be referred to them after you leave the clinic for medication prescription. Medication Medication is an integral element of the process for many who are looking for a private ADHD diagnosis. Getting an appointment with an NHS psychiatrist can be a hassle and lengthy. NHS waiting lists can be extremely long and GPs might be reluctant to refer patients to specialist services. One method to circumvent this is to request your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). This means you can select a provider that offers a private assessment and titration. This can help you save time and be more convenient, especially when you are on a tight work schedule. After Related Home Page 've been identified as a candidate for this treatment, your chosen clinician will examine you and decide whether or not you're required to be titrated on medication. You will be asked to fill in forms that vary by provider but the most common ones are self-report questionnaires and medical histories from childhood and adulthood. These forms will allow your doctor to determine if there are any factors that could mean you shouldn't be taking ADHD medication, in the event that they've been prescribed. If you are titrated on medication, this will usually consist of stimulants and non-stimulant medications. These will be thoroughly assessed and monitored to determine the best combination for you. The titration process may be lengthy and may need some additional appointments before you're stable on your dose. Depending on the kind of medication you are taking, follow-up appointments could be scheduled monthly or quarterly. Your physician will make sure that you are stable with the medication, document any side effects that you've experienced and make any needed adjustments to ensure that you remain on a dose that is safe. You'll also have to undergo a regular health check, which could include blood pressure and pulse readings, as well as weight and weight measurements and an annual review. Some people may be satisfied with their medication and therefore do not have to discuss their titration in more detail. For those who require further discussion about their titration and treatment plans, it's possible that they will be referred back to the same private clinic that conducted their initial assessment. If this occurs, the titration consultation will be part of their consultation fee, and they will be given their medication through private prescription (see Consultation fees above). This could cost more than prescriptions from the NHS since the pharmacy will charge for the medication.