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Private ADHD Titration There is a national shortage of medications to treat ADHD symptoms. This is due to manufacturing problems and an increase in demand worldwide. Our service can offer 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 thorough evaluation of your ADHD symptoms will be carried out by an experienced consultant Psychiatrist. This includes a thorough medical history, and an assessment using the common ADHD questionnaires and rating scales. After your evaluation, you will be informed whether medication may be beneficial for your situation. The discussion will take place at your follow-up appointment (which can take place in person, via video link, or over the phone). Your clinician will explain the various options for medication and, if you choose to start on medication we will suggest titrating the dose to maximize the balance of benefits and side effects for you. This process may take several weeks, and involves adjusting your child's medication gradually until the proper balance is reached. It is not uncommon to have to titrate as high as three different medications before you can find the one that best suits your child's ADHD. It is crucial that parents are involved in the titration process and be aware of their child's behavior, so they can let the doctors know whether the medication is working or causing adverse effects. Unless you have decided to return to NHS treatment the medication you take will be provided with a prescription from a private pharmacy that you'll have to pay for at the pharmacy (this is not included in your consultation fee). ADHD titration private must attend six-monthly appointments to monitor your medications. This includes pulse and blood pressure measurements. Annual reviews are also required. Follow-up appointments After the evaluation is completed and you are satisfied, you can schedule appointment with the psychiatrist. Typically, the appointment will take place through a video call using zoom however in some instances it is possible to have an audio-only consultation (again at an extra cost). In this session, we'll discuss any treatment options and decide on a custom-made ADHD medication titration strategy. This will include a review of your medication dose and a discussion of any possible side 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. Costs for medication are extra and are paid directly to the pharmacy. The psychiatrist will also ask you about your family background and the impact your ADHD symptoms have on your life, including any issues with your relationships that you may be having or other mental health problems that you may be suffering from. ADHD can be a genetic condition, and it's vital to examine your family history in order to determine if you're at chance of developing this disorder. During the assessment, it is vital to be truthful and honest with your doctor in the sense that they will be using the information you provide to determine if you are able to meet the diagnostic criteria for ADHD. This is a crucial part of the process, because if you don't do it, it could lead to an inaccurate diagnosis and consequently an inappropriate prescription of medication. If you have decided that you'd like to receive treatment for your ADHD We will schedule a follow-up appointment with one of our psychiatrists who specialize in this field. This can be scheduled within the first few days of your diagnosis if are keen to begin treatment right away, or within two weeks if you prefer to take time to consider the implications of your diagnosis and the possibilities that are available to you. We recommend that if you are unsure of your preferences, you talk to your GP prior to booking your private appointment. Certain providers have different guidelines regarding whether or not they require an GP letter. Make sure that your GP accepts the Shared Care Agreement, which means that you will be referred to them after you leave the clinic to get a prescriptions for medication. Medication For many people who want a private diagnosis of ADHD medication is a crucial part of their journey. It can be difficult to get an appointment with a psychiatrist on the NHS. NHS waiting lists are notoriously long and GPs may be reluctant to refer patients on 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). This means that you can select one that provides a private assessment and titration service. This can help you save time and be more convenient, especially in the event of a hectic schedule. If you are identified as a candidate for this treatment your chosen doctor will assess you and decide whether or not you need to be monitored for a dose of medication. You will be asked to fill in forms that differ by doctor but the main ones are self-report forms and medical histories from childhood to adulthood. They will help your physician identify any factors that might mean you shouldn't take ADHD medications if they are prescribed. If you are titrated on medication, this will usually include a mix of non-stimulant and stimulant medications. These will be carefully trialled and monitored to find the most effective combination for you, taking into account any existing conditions you have. The titration process can be lengthy and may require a few extra appointments before you're stable on your dose. Based on the type of medication you're taking, follow-up appointments will be either monthly or quarterly. The appointment will involve your doctor checking to see if you are stable on the medication, logging any side effects you've experienced and making any adjustments needed to ensure that you're on a dose that is safe. You'll also have to attend a routine health check which can include blood pressure and pulse readings, as well as weight and weight measurements as well as an annual check-up. For some individuals it could be that they are satisfied with their medication and don't need an additional discussion regarding their titration. If you're required to discuss your titration or treatment plan more thoroughly it is likely that you'll be sent to the private clinic who performed your initial assessment. If this occurs, the titration consultation will be included in their consultation fees and they will be given their medication via private prescription (see Consultation fees above). This could cost more than prescriptions from the NHS, as the pharmacy will charge you for the medication.