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Private ADHD Titration There is currently a nationwide shortage of medication that helps to treat ADHD symptoms. This is due both to manufacturing problems as well as 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 fees for assessments include the cost of one prescription. Titration A thorough evaluation of your ADHD symptoms will be conducted with a highly experienced consultant psychiatrist. This includes a complete medical history and an assessment using the standard ADHD questionnaires and rating scales. Following your assessment you will be informed that medication may be beneficial in your particular situation. The discussion will take place at your follow-up appointment (which could be in person, by video link, or over the phone). Your physician will go over the various medication options available. If you decide to start medication, we can help you to titrate your dose to optimize the benefits/side-effects balance for you. This process can take several weeks and involves adjusting the dosage of your child's medication slowly until the right balance is achieved. It's not uncommon to need to adjust several times before determining the most effective one for your child's ADHD symptoms. It's important for parents to participate in this titration process and keep a close watchful eye on their child's behavior so that they can inform the doctor 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 for your prescription at the pharmacy. This is not included in the consultation fee. You will be required to attend regular appointments every six months to monitor your medication – this includes pulse and blood pressure readings. Annual reviews are also required. Follow-up appointments Once the evaluation has been completed, you will be able to make appointment with the psychiatrist as appropriate. The appointment is usually done via zoom video call. 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 discuss treatment options and choose a bespoke, individualised ADHD medication titration. This will include a discussion and review of your medication dose and any side effects that you may be experiencing. These titration sessions cost PS150 for face-toface sessions and PS60 via telephone or video consultation. The pharmacy will charge you for any cost of medication. The psychiatrist will ask you questions about your family history and the impact of your ADHD symptoms on your daily life and any relationship problems or mental health issues you might be suffering from. This is because ADHD is a genetic disorder and it is crucial to look into any family history that might indicate whether you are at risk of developing the disorder. During the assessment, it is essential that you are truthful and open with the doctor in the sense that they will be using the information you provide to determine whether you meet the diagnostic criteria for ADHD. This is an important step, since a wrong diagnosis could result in a prescription for medication that is not appropriate. If you've decided that you would like to be treated for your ADHD We will set up a follow-up appointment with one of our psychiatrists who specialize in this area. If you want to start treatment immediately you can start treatment when you are diagnosed. You can also wait two weeks to consider the implications of the diagnosis and the options available to you. If you're not sure what your preference is it is recommended that you talk with your GP prior to scheduling your private appointment as certain providers have different policies about whether they require a GP referral letter or not. Find out if your GP accepts the Shared Care Agreement, which means that you will be referred to them once you leave the clinic to get a medication prescription. Medication The medication process is an essential aspect of the treatment process for many people who are looking for an official ADHD diagnosis. It isn't always easy to obtain a prescription from a psychiatrist on the NHS. NHS waiting lists are notoriously long and GPs may be reluctant to refer patients on to specialist services. One way to get around this is to request your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). You can choose a service that provides a private assessment service and titration. This can help you reduce time and be more convenient, especially if you have a busy schedule. If you are recommended, your physician will assess you to determine if you require medication titration. You'll need to fill out forms that are different for each provider however the most commonly used ones are self-reporting questionnaires and medical histories going to childhood and adulthood. These forms will allow your doctor to determine if there are circumstances that indicate that you shouldn't be taking ADHD medications, in the event that they've been prescribed. If you are on a titration medication, it will typically consist of stimulants and non-stimulant drugs. adhd response monitoring will be thoroughly assessed and monitored to determine the right combination for you. The titration procedure can be a lengthy process and may require multiple appointments before you are stable. Depending on the type of medication you are taking, follow-up appointments can be scheduled either monthly or quarterly. Your physician will make sure that you are stable with the medication, note any side effects that you've experienced, and make any needed adjustments to ensure that you remain on a dose that is safe. You will be required to go to an annual review as well as a routine health examination which includes pulse, blood pressure, and weight measurements. For some it could be that they are happy with their medication and don't need an additional discussion regarding their titration. If you're required to discuss your titration plan or treatment plan in more detail it is possible that you'll be sent back to the private doctor who made your initial assessment. In this instance the titration will be included in the consultation cost. The medication will then be given via a private prescription. This can cost more than an NHS prescription because the pharmacy will charge for the medication.