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Private ADHD Titration There is a nationwide shortage of medication that helps to treat ADHD symptoms. ADHD titration private is due both to manufacturing issues and an increase in demand worldwide. Our service is able to offer private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessments cost include the cost of one prescription. Titration A highly experienced psychiatrist consultant will conduct a thorough evaluation of your ADHD. This will include an examination of your medical history as well as an assessment using the typical ADHD rating scales and questionnaires. After your assessment After your assessment, you will be informed if medication would be beneficial for your particular situation. This will take place at your follow up appointment (which could be in person via video link or by telephone). Your doctor will go over the various medication options available. If you decide to begin medication, we can help you the option of titrating your dose to optimize the benefits/side-effects balance for you. This process can take several weeks and involves gradually adjusting your child’s medication until the appropriate balance is reached. It is not uncommon to to adjust up to three different medicines before you find the one that best suits your child's ADHD. Parents must participate in this titration process , and keep an eye on their child's behaviour so that they can inform the doctor whether the medication is helping or causing side effects. If you do not decide to return to NHS care the medication you take will be given as an individual prescription that you'll have to pay for at the pharmacy (this is not included in your consultation fee). You'll be required to attend six monthly appointments to monitor your medication, which includes blood pressure and pulse readings. Annual reviews are also required. Follow-up appointments Once the evaluation has been completed, you will be able to book follow up appointments with the psychiatrist as appropriate. Usually the appointment will take place through a video call using zoom but in certain circumstances it might be possible to do an audio-only consultation (again at an extra cost). At this point we will discuss treatment options and come up with a unique ADHD medication titration plan. This will include a review and discussion of your medication dosage and any side effects you might be experiencing. The titration sessions cost PS150 for face-toface sessions and PS60 by video or phone consultation. Costs for medication are extra and are paid directly to the pharmacy. The psychiatrist will ask you questions regarding your family history, the effects of your ADHD symptoms on your daily life and any mental health issues that you may be experiencing. This is because ADHD is an inheritable condition, and it is essential to examine any family history that could indicate whether you are at risk of developing the disorder. During this assessment it is crucial to be truthful and open with the doctor who will be using the information you provide to determine whether you meet the diagnostic criteria for ADHD. This is an essential step in the process as failing to do so could result in an inaccurate diagnosis, and thus an incorrect prescribing of medication. If you decide to seek treatment for ADHD We'll set up a follow-up appointment with a psychiatrist who is specialized in this field. If you'd like to start treatment immediately you can start treatment when you are diagnosed. You can also take two weeks to consider the implications of the diagnosis and your options. We recommend that if you are unsure of your preferences, you talk to your GP prior to booking your private assessment. Some providers have different policies on whether they require a GP letter. Check if your GP accepts a Shared Care Agreement, which means that you will be referred to them when you leave the clinic for medication prescription. Medication The medication process is an essential element of the process for many people seeking a private ADHD diagnosis. Finding a prescription from an NHS psychiatrist can be difficult and lengthy. NHS waiting lists can be extremely long, and GPs might be reluctant to refer their patients to specialist services. Requesting your GP to refer you to Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). You can choose a service who offers a private assessment service and titration. This can help you reduce time and be more convenient, particularly when you are on a tight schedule. If you are identified as a candidate for this treatment your chosen doctor will assess you and decide whether or not you're required to be titrated on medication. You'll have to fill out forms that vary by doctor, but the most common ones are self-reporting forms and medical histories going back to childhood and adulthood. These forms will assist your doctor to determine if there are any circumstances that indicate that you shouldn't be taking ADHD medication, even if they have been prescribed. If you are being titrated on medication, it is likely to include a mix of stimulants and non-stimulant medications. These will be carefully assessed and monitored to determine the best combination for you. The titration procedure can be long and may require multiple appointments before your dose is stable. Depending on the type of medication you are taking, follow-up appointments will be either monthly or quarterly. The appointment will involve your doctor checking that you are stable on the medication, noting any adverse effects you have had and making any adjustments needed to ensure that you're on a safe dosage. You are required to attend an annual review as well as a routine health examination which includes blood pressure, pulse, and weight measurements. For some individuals it could be because they are content with their medication and don't need an additional discussion regarding their titration. For those who do need further discussions about their titration and treatment plans, it's possible to be referred back to the private clinic that performed their initial assessment. In this instance the titration will be included in the consultation fee. The medication will be administered via a private prescription. It could cost more than an NHS prescription since the pharmacy will charge for the medication.