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Private ADHD Titration There is currently a national shortage of medication to treat ADHD symptoms. This is due to manufacturing issues and an increased global demand. what is titration adhd is able to offer private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our fees for assessments include the cost of one prescription. Titration A highly experienced 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. Following your assessment you will be informed if medication is considered to be beneficial in your case. This will happen at your follow-up appointment (which can be done in person by video link, in person or by telephone). Your doctor will explain the various options for medication and if you decide to start on medication we will recommend titrating the dose to maximize the balance of benefits and side effects for you. This is a process which can take several weeks. It involves adjusting the dosage of your child's medication gradually until the proper balance is achieved. It is not unusual to need to adjust several times before finding the best one for your child's ADHD symptoms. 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 if the medicine is helping or causing adverse effects. If you decide to go back to NHS treatment, you will receive a private prescription for your medication. You will have to pay at the pharmacy. This is not included in the consultation fee. You must attend six-monthly appointments to monitor your medication. This includes pulse and blood pressure measurements. Annual reviews are also required. Follow-up appointments After the assessment is complete after the assessment is completed, you can make follow-up appointments with your psychiatrist. Usually 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 additional cost). At this point we will discuss treatment options and decide on a custom-made ADHD medication titration program. This will include an assessment of your medication dose and a discussion around any adverse effects you may be experiencing. The cost of these titration consultations is PS150 for face-to face sessions and PS60 for online or phone video consultations. The cost of medication is additional and are paid directly to the pharmacy. The psychiatrist will also inquire with you about your family history and the impact that your ADHD symptoms can have on your life, as well as any issues with relationships you may be having or other mental health problems that you might be experiencing. This is because ADHD can be an inheritable condition, and it is essential that we assess any family history that might suggest that you are at risk of developing the disorder. It is crucial that you are honest and transparent to the doctor during the assessment, since the information they receive will be used to determine if your ADHD fits the diagnostic criteria. This is a vital step in the process, as failing to do so could lead to an inaccurate diagnosis, and thus an incorrect prescribing of medication. If you have decided that you'd like to receive treatment for your ADHD We will set up a follow-up appointment with one of our psychiatrists who specialize in this field. If you'd like to begin treatment immediately, you can do this when you are diagnosed. You can also take for two weeks before considering the implications of the diagnosis and your options. If you're not sure what you would prefer, we suggest that you speak to your GP prior to booking your private examination as some providers have different policies regarding whether they require the submission of a GP referral letter or not. We also recommend to check if your GP accepts a “Shared-Care Agreement', which means that once discharged from the clinic you will be sent back to them to get the prescription for the medication. Medication For many people who want an individual diagnosis of ADHD, medication is a crucial element of their treatment. It isn't easy to obtain prescriptions from psychiatrists on the NHS. NHS waiting lists can be extremely long and GPs may be reluctant to refer their patients to specialist services. One way to get around this is to request your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). This means that you can select a provider that offers a private assessment and titration service. This can reduce your wait time significantly and is more convenient if you're working and have a full schedule. Once you have been recommended by this method, your chosen clinician will examine you and decide whether or not you require to be titrated on medication. You will be asked to fill out forms that are different for each 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 circumstances that indicate you shouldn't take ADHD medication, if they have been prescribed. If you are titrated, the medication will consist of stimulants and non-stimulant drugs. These will be carefully trialled and monitored to find the most suitable combination for you, taking into consideration any existing conditions you have. The titration process may be lengthy and may require a few extra appointments before you're stable on your dose. Depending on the type of medication you're taking, follow up appointments can be scheduled either monthly or quarterly. This will include your physician making sure that you are on the right medication, noting any adverse effects you've experienced, and making any adjustments needed to ensure that you're on a safe dosage. You will be required to attend 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 therefore do not have to discuss their titration further. If, however, they do need further discussions about the titration process and treatment plan, it's possible that they will be referred back to the same private clinic that made their initial assessment. In this case the titration will be included in the consultation cost. The medication will then be given via an individual prescription. It could cost more than an NHS prescription as the pharmacy will charge for the medication.