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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 testing as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees include the cost of a single prescription. Titration A comprehensive assessment of your ADHD symptoms will be conducted by a highly experienced consultant psychiatrist. This will include an examination of your medical history as well as an assessment using the standard ADHD rating scales and questionnaires. Following your assessment you will be advised that medication may be beneficial for your situation. The discussion will take place at your follow-up appointment (which can take place in person, by video link or over the phone). Your clinician will explain the various options for medication and, if you choose to begin taking medication, we will suggest titrating the dose to optimise the balance of benefits and side effects for you. adhd medication titration may take several weeks, and involves gradually adjusting your child's dosage until the proper balance is reached. It's not uncommon to have to titrate as high as three different medicines before you can find the one that best suits your child's ADHD. It is essential that parents take part in the titration and be aware of their child's behavior, so they can let the doctors know if the medication is helping or causing adverse effects. If you decide to return to NHS care, your medication will be given as a prescription from a private pharmacy that you will need to pay for at the pharmacy (this is not included in your consultation fee). You must attend six-monthly appointments to monitor your medication. This includes the measurement of pulse and blood pressure. Annual reviews are also mandatory. Follow-up appointments Once the assessment has been completed, you will be able to book appointment with your psychiatrist, if necessary. The appointment usually takes place on zoom video call, although in certain cases it is possible to have 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 strategy. This will include a review and discussion of your dosage of medication, as well as any adverse effects you might be experiencing. These titration sessions cost PS150 for face-to-face sessions and PS60 via telephone or video consultation. Costs for medication are extra 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, including any issues with your relationships that you may be having or other mental health issues you may be suffering from. This is because ADHD can be an inheritable condition, and it is important to look into any family history that may indicate whether you are at risk of developing the disorder. During this examination, it is essential to be truthful and honest with the clinician, as they will be using the information you provide to determine if you meet the diagnostic criteria for ADHD. This is an important step, since a wrong diagnosis could result in an inappropriate prescription of medication. If you have decided that you'd like to receive treatment for your ADHD, we will then schedule a follow-up appointment with one of our psychiatrists who specialise in this area. This can be scheduled within the first few days of your diagnosis if you are eager to begin treatment right away, or within two weeks if you want to think about the implications of your diagnosis and the alternatives that are available to you. If you are unsure of which one you prefer, we suggest that you talk with your GP prior to booking your private examination as some providers have different policies regarding whether they require an GP referral letter or not. Check if your GP accepts a Shared Care Agreement, which means you will be referred to them when you leave the clinic to get a prescription medication. Medication The medication process is an essential element of the process for many who are seeking a private ADHD diagnosis. It can be difficult to get an appointment with a psychiatrist on the NHS. NHS waiting lists can be notoriously long, and GPs might be reluctant to refer their patients to specialist services. One method to avoid this is to ask your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). You can pick a provider that provides an assessment on your own and the titration. This will help you to save time and also be more convenient, particularly in the event of a hectic work schedule. After you have been diagnosed, your doctor will examine you to determine if need medication adjustment. You'll need to fill out forms that vary by doctor but the most frequent ones are self-reporting questions and medical histories that go back to childhood and adulthood. These will help your clinician identify any factors that might mean you shouldn't take ADHD medications if they are prescribed. If you are being titrated, the medication will consist of stimulants and nonstimulant medicines. The combination will be carefully tested and monitored to find the most suitable combination for you, taking into consideration any current conditions you suffer from. The titration process can be lengthy and may need several additional appointments before you are stable on your dosage. Depending on the kind of medication you are taking, follow-up appointments could be scheduled monthly or quarterly. Your clinician will check that you are stable with the medication, note any side effects that you've experienced, and make any necessary adjustments to ensure you remain on a safe dose. You will be required to go to an annual health check-up and regular health check-up that includes blood pressure, pulse, and weight measurements. Some patients may be content with their medication, and don't need to discuss their titration process further. If you're looking to discuss your titration plan or treatment plan further it is possible that you'll be sent back to the private doctor who made your initial assessment. If this happens, the titration appointment will be included in the consultation fees and they will receive their medication through a private prescription (see Consultation fees above). This could cost more than an NHS prescription as the pharmacy will charge for the medication.