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Private ADHD Titration There is a current national shortage of medications to treat ADHD symptoms. This is due to manufacturing issues and a growing global demand. Our service is private ADHD adjustment instead of waiting for NHS funding via Right to Choose. Iam Psychiatry cover the cost of a single prescription. Titration A highly experienced psychiatrist consultant will conduct a thorough assessment of your ADHD. This will include an examination of your medical history as well as an assessment using the standard ADHD rating scales and questionnaires. After your evaluation, you will be advised if medication is considered to be beneficial in your case. This will be discussed at your follow-up appointment (which could be in person, via video link or by phone). Your doctor will go over the different options for medication available. If you decide to start medication, we will offer you to titrate your dose to ensure the best balance of benefits and side effects for you. This is a process which could take a few weeks and involves adjusting the dosage of your child's medication gradually until the appropriate balance is reached. It's not uncommon to to titrate as high as three different medications before you find the one that is most suitable for your child's ADHD. It's important for parents to take part in this process of titration and keep a close eye on their child's behaviour, so that they can let the doctor know whether the medication is helping or causing side effects. If you decide to go back to NHS treatment you will receive a private prescription for your medication. You will be required to pay for your prescription at the pharmacy. This is not included in the consultation cost. You'll be required to attend every six months to check your medication – this includes pulse and blood pressure readings. Annual reviews are also mandatory. Follow-up appointments Once the evaluation has been completed you will be able to make follow up appointments with the psychiatrist, as appropriate. The appointment usually takes place on zoom video call, although in certain cases it is possible to do an audio only consultation (again at an additional cost). We will then discuss treatment options and choose the most appropriate, customized ADHD medication titration. This will include a review of your medication dosage as well as an examination of any adverse effects you may be experiencing. These titration sessions cost PS150 for face-to-face sessions and PS60 via video or telephone consultation. The pharmacy will charge you for any cost of medication. The psychiatrist will ask questions regarding your family history and the impact of your ADHD symptoms on your life, and any relationship problems or mental health issues you may be experiencing. This is because ADHD can be a genetic condition and it is important that we assess any family history that may suggest that you are at risk of developing the disorder. During this examination, it is essential that you are truthful and honest with your doctor in the sense that they will use the information you provide to determine if you are able to meet the diagnostic criteria for ADHD. This is an important step, as a wrong diagnosis could lead to inappropriate medication prescription. If you decide to receive treatment for ADHD, we'll arrange a follow-up appointment with a psychiatrist who is specialized in this field. If you'd like to begin treatment right away it is possible to start treatment immediately following the diagnosis. You can also wait for two weeks before considering the implications of the diagnosis and the options available to you. If you are unsure of which one you prefer, we suggest that you speak with your GP prior to scheduling your private examination as some providers have different policies about whether they require the submission of a GP referral letter or not. We also recommend to confirm that your GP accepts a “Shared Care Agreement', which means that once you are discharged from the clinic you will be returned to them for the medication prescription. Medication For many people who seek a private diagnosis of ADHD treatment is an important element of their treatment. Getting an appointment with an NHS psychiatrist can be a hassle and lengthy. NHS waiting lists are notoriously long and GPs are often reluctant to refer patients to specialist services. Asking your GP to refer you to Right to Choose is one way to avoid this (see psychiatry – UK and ADHD 360). You can select a provider that provides a private assessment service and titration. This will help you reduce time and be more convenient, particularly when you are on a tight schedule. If you are referred, your clinician will assess you to determine if you need medication adjustment. You will be asked to fill out forms that differ by doctor but the most important ones are self-report forms and medical histories from childhood to adulthood. They will help your physician determine any issues that could indicate that you shouldn't be taking ADHD medications if they are prescribed. If you are being titrated the medication will consist of stimulants and non-stimulant drugs. They will be carefully tested and monitored to find the most effective combination for you, taking into consideration any current conditions you suffer from. The titration process may be lengthy and may require a few extra appointments before you're stable on your dosage. Based on the type of medication you're taking, follow up appointments will be either monthly or quarterly. Your clinician will check that you are stable with the medication, document any adverse reactions you've experienced, and make any necessary adjustments to ensure that you remain on a safe dosage. You will be required to attend an annual review as well as a routine health exam that includes pulse, blood pressure and weight measurements. For some individuals, it may be that they are happy with their medication and don't need a further discussion about their titration. If you're looking to discuss your titration plan or treatment plan more thoroughly it is likely that you will be referred to the private clinic who performed your initial assessment. In this instance the titration will be included in the consultation fee. The medication will then be given via a private prescription. It could cost more than an NHS prescription since the pharmacy will charge for the medication.