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There is a national shortage of medications to treat ADHD symptoms. This is due to manufacturing problems and a growing global demand.

Our service can offer private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees cover the cost of one prescription.

Titration

A highly skilled consultant psychiatrist will conduct a comprehensive assessment of your ADHD. This will include an examination of your medical history as well as an assessment using the common adhd titration uk rating scales and questionnaires.

After your examination, you will be informed that medication may be beneficial in your case. This will be discussed at your follow-up appointment (which could be in person by video link, in person or via phone). Your clinician will discuss the various medication options available. If you decide to start taking medication, we will offer you the opportunity to increase your dosage to optimize the benefits/side-effects balance for you.

This is a process which may take several weeks. It involves adjusting the dosage of your child's medication gradually until the appropriate balance is reached. It's not uncommon to need to adjust several times before finding the best one for your child's ADHD symptoms. It is important that parents participate in the titration process and be on the lookout for 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 provided with a prescription from a private pharmacy that you'll have to pay for at the pharmacy (this is not included in the consultation fee). You must attend six monthly appointments to monitor your medication, which includes blood pressure and pulse readings. Annual reviews are also required.

Follow-up appointments

After the evaluation is completed, you can schedule follow-up appointments with your psychiatrist. The appointment is typically conducted through a zoom video call. However, in some cases, it may be possible for an audio-only appointment to be scheduled (again with an additional cost).

At this point we will discuss any treatment options we have and agree upon a bespoke individualised ADHD medication titration program. This will include a review and discussion of your dosage of medication and any side effects that you might be experiencing. These titration sessions cost PS150 for face-toface sessions and PS60 via telephone or video consultation. Medication costs are additional 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 have on your life, as well as any issues with relationships you may be facing or any other mental health issues you might be experiencing. ADHD is a genetic condition, so it's important to assess your family background to determine if you are at a greater chance of developing this disorder.

During this assessment it is essential that you are honest and honest with your doctor who will use the information you provide to determine whether you are able to meet the diagnostic criteria for ADHD. This is a vital step in the process, as failing to do so could lead to an inaccurate diagnosis, and thus an incorrect prescribing of medication.

If you decide to seek treatment for ADHD, we'll arrange a follow-up appointment with a psychiatrist who is specialized in this field. This can be done at the time of your diagnosis if want to start treatment right away, or within two weeks if would like more time to think about the implications of your diagnosis and the alternatives that are available to you.

If you are unsure of what is titration in adhd your preference is it is recommended that you speak with your GP before booking your private assessment as some providers have different policies about whether they require a GP referral letter or not. Check if your GP accepts the Shared Care Agreement, which means that you will be referred to them when you leave the clinic for medication prescription.

Medication

For many people who seek an official diagnosis of ADHD medication is a key element of their treatment. The process of getting prescriptions from an NHS psychiatrist can be a challenge and long-winded. NHS waiting lists can be extremely long and GPs may be reluctant to refer patients to specialist services.

Inquiring 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 offers an assessment that is private and the titration. This can cut down on wait time significantly and is more convenient if you are working and have a hectic schedule.

Once you've been referred, your clinician will assess you to determine if you need medication titration. You'll need to complete forms that are different for each provider however the most commonly used ones are self-reporting questionnaires and medical histories dating to childhood and adulthood. They will help your physician identify any conditions that could indicate that you shouldn't be taking ADHD medication if prescribed.

If you are titrated, the medication will consist of stimulants and nonstimulant medications. They will be carefully tested and monitored to find the most effective combination for you, taking into consideration any existing conditions you have. The titration process can be a lengthy process and may require multiple appointments before your dose is stable.

The frequency of your follow-up appointments will be contingent on the type and amount of medication you're taking. They could be scheduled monthly or quarterly. This will involve your clinician checking to see if you are taking the correct medication, noting any adverse effects you've experienced and making any adjustments needed to ensure that you're in a safe dosage. You are required to attend an annual health check-up and routine health exam that includes blood pressure, pulse, and weight measurements.

Some patients may be content with their medication, and don't need to discuss their titration in more detail. If you're looking to discuss your titration plan or treatment plan further it is likely that you will be referred to the private clinic that performed your initial evaluation. If this occurs, the titration appointment will be included in the consultation fee and they will be given their medication via an individual prescription (see Consultation fees above). This can cost more than an NHS prescription because the pharmacy will charge for the medication.