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Private ADHD Titration There is a nationwide shortage of medications to treat ADHD symptoms. This is due to manufacturing issues and the growing demand for ADHD medications worldwide. Our service is private ADHD treatment instead of waiting for NHS funding via Right to Choose. Our assessment fees include the cost of one prescription. Titration A thorough evaluation of your ADHD symptoms will be carried out by a highly experienced consultant psychiatrist. This will include medical history and an assessment using the typical ADHD rating scales and questionnaires. After your evaluation, you will be advised if medication is considered to be beneficial in your particular situation. This will take place during your follow-up appointment (which can be done in person via video link or by telephone). Your clinician will discuss the various medication options available. If you decide to start medication, we can help you the opportunity to increase your dosage to optimize the benefits/side-effects balance for you. This process may take several weeks and requires gradually altering your child’s medication until the proper balance is reached. It's not uncommon to to titrate up to three different medicines until you discover the one that is most suitable for your child's ADHD. It is important that parents take part in the titration and keep an eye out for their child's behavior so they can inform the doctor whether the medication is helping or causing adverse effects. If you do not decide to return to NHS care, your medication will be issued with a private prescription which you'll need to pay for at the pharmacy (this is not included in your consultation fee). You'll be required to attend regular appointments every six months to monitor your medication, which includes pulse and blood pressure readings. Annual reviews are also mandatory. Follow-up appointments Once the assessment is completed, you can schedule follow-up appointments with the psychiatrist. The appointment is typically conducted by video conference using zoom. However, in certain circumstances, it might be possible to have an audio-only appointment to be conducted (again at an additional cost). We will then go over treatment options and choose a bespoke, individualised ADHD medication titration. This will include an assessment of your medication dose and a discussion of any possible adverse effects you may be experiencing. The cost for these titration consultations is PS150 for face to face sessions and PS60 for telephone or online video consultations. The pharmacy will charge you for any charges for medication. The psychiatrist will ask questions about your family history as well as the effects of your ADHD symptoms on your daily life and any mental health issues that you may be experiencing. ADHD is a genetic condition, and it's vital to examine your family history to determine if you are at chance of developing this condition. It is essential to be honest and open to the doctor during the assessment, since the information they gather will be used to determine if your ADHD is in line with the diagnostic criteria. This is an important step, since a wrong diagnosis could result in an inappropriate prescription of medication. If you have decided that you would 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. This can be done in the wake of your diagnosis if are eager to begin treatment immediately or within two weeks if want to consider the implications of your diagnosis and the options that are available to you. We suggest that if you are unsure about your preferences, you speak with your GP prior to scheduling your private assessment. Certain providers have different guidelines regarding whether or not they require the submission of a GP letter. Find out if your GP accepts a Shared Care Agreement, which means that you will be referred to them when you leave the clinic to get a prescription medication. Medication The medication process is an essential aspect of the treatment process for many people who are looking for an official ADHD diagnosis. It can be difficult to get a prescription from a psychiatrist on the NHS. NHS waiting lists are notoriously long, and GPs may 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). You can select a provider who offers an assessment on your own and titration. This will help you save time and be more convenient, particularly in the event of a hectic schedule. If you are referred through this route, your chosen clinician will evaluate you and determine whether or not you're required to be adjusted on your medication. You'll have to fill out forms that vary by doctor however the most commonly used ones are self-reporting questionnaires and medical histories going back to childhood and adulthood. These forms will allow your doctor to determine if there are any reasons that suggest that you shouldn't be taking ADHD medications, in the event that they've been prescribed. If you are on a titration medication, it is likely to be a combination of non-stimulant and stimulant medications. The combination will be carefully tested and monitored to find the most suitable combination for you, taking into consideration any medical conditions you may have. www.iampsychiatry.uk may be lengthy and may need several additional appointments before you're stable on your dose. Based on the type of medication you are taking, follow up appointments could be scheduled monthly or quarterly. Your doctor will ensure whether you are safe with the medication, record any adverse reactions you have experienced and make any necessary adjustments to ensure you remain on a dose that is safe. You will be required to go to an annual review and a routine health exam that includes blood pressure, pulse, and weight measurements. For some individuals it could be that they are satisfied with their medication and don't require any further discussion on their titration. However, for those who require further discussion about their titration and treatment plans, it's possible that they will be passed back to the same private clinic that performed their initial assessment. In this scenario the titration is included in the consultation cost. The medication will then be given via an individual prescription. This could cost more than prescriptions from the NHS, as the pharmacy will charge for the medication.