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Private ADHD Titration There is currently a nationwide shortage of medication to treat ADHD symptoms. This is due both to manufacturing problems and an increase in demand worldwide. Our service provides private ADHD adjustment instead of waiting for NHS funding through Right to Choose. Our assessments cost include the cost of one prescription. Titration A thorough assessment of your ADHD symptoms will be carried out by a highly experienced consultant Psychiatrist. This includes a medical history and an assessment using the typical ADHD rating scales and questionnaires. After your assessment, you will be informed if medication would be beneficial for your situation. This will be discussed during your follow-up appointment (which could be in person, by video link or over the phone). Your doctor 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 benefits/side effects balance for you. This is a process which may take several weeks and involves adjusting the dosage of your child's medication gradually until the appropriate balance is achieved. It is not uncommon to have to titrate up to three different medications before you find the one that best suits your child's ADHD. Parents must be involved in this titration process and keep an eye on their child's behavior, so that they can 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 an individual prescription for your medication. You will be required to pay the pharmacy. ADHD titration private is not included in the consultation cost. 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 required. Follow-up appointments After the assessment is complete and you are satisfied, you can schedule follow-up appointments with the psychiatrist. Typically, the appointment will take place via a zoom video call but in certain circumstances it might be possible to schedule an audio only consultation (again at an extra cost). At this point we will discuss treatment options and decide on a custom-made ADHD medication titration program. This will include a discussion and review of your dosage of medication, as well as any side effects that you may be experiencing. The cost for these titration appointments is PS150 for face-to face sessions and PS60 for online or phone video consultations. The pharmacy will be charged for any cost of medication. The psychiatrist will also ask you about your family background and the impact your ADHD symptoms impact your life, including any relationship issues you might be facing or any other mental health issues you might be experiencing. ADHD can be a genetic condition, and it's vital to examine your family history in order to determine if you're at risk of developing this disorder. During this assessment it is crucial that you are truthful and honest with your doctor, as they will use the information you provide to determine if you have the diagnostic criteria for ADHD. This is an important step, as a wrong diagnosis could lead to inappropriate medication prescription. If you've decided that you'd like to receive treatment for your ADHD, we will then set up a follow-up appointment with one of our psychiatrists who specialise in this field. This can be done at the time of your diagnosis if want to start treatment right away, or within two weeks if you prefer to take time to think about the implications of your diagnosis and the options that are available to you. We recommend that if you are unsure about your preferences, talk with your GP prior to scheduling your private examination. Some providers have different policies regarding whether or not they require an GP letter. Find out if your GP accepts the Shared Care Agreement, which means you will be referred to them when you leave the clinic for prescription medication. Medication For many people who want an official diagnosis of ADHD medication is an important part of their journey. The process of getting a prescription from an NHS psychiatrist can be a hassle and lengthy. NHS waiting lists can be extremely long and GPs may be reluctant to refer their patients to specialist services. One method to avoid this is to ask your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). You can pick a provider that offers a private assessment service and the titration. This will help you to save time and also be more convenient, particularly when you are on a tight schedule. If you are recommended, your physician will evaluate you to determine if you need medication adjustment. You will be asked to fill in forms that differ by doctor but the most important ones are self-report questionnaires as well as medical histories from childhood and adulthood. These forms will help your clinician determine if there are reasons that suggest you shouldn't take ADHD medications, if they have been prescribed. If you are being titrated the medication will consist of stimulants and non-stimulant drugs. The combination will be carefully tested and monitored to determine the most suitable combination for you, taking into consideration any current conditions you suffer from. The titration can be lengthy and may require several extra appointments before your dose is stable. Depending on the type of medication you're taking, follow up appointments will be either monthly or quarterly. This will include your physician checking to see if you are stable on the medication, recording any side effects you have had and making any adjustments needed to ensure that you're on a safe dosage. You will be required to go to an annual health check-up and regular health check-up that includes pulse, blood pressure, and weight measurements. Some people may be satisfied with their medication and do not have to discuss their titration further. If you're looking to discuss your titration plan or treatment plan more thoroughly it is likely that you'll be sent back to the private clinic who made your initial assessment. If this occurs, the titration appointment 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.