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Private ADHD Titration There is a nationwide shortage of medication that helps to treat ADHD symptoms. This is due both to manufacturing issues and an increased demand in the world. Our service is able to provide private ADHD testing as an alternative to waiting for NHS funding through Right to Choose. Our fees for assessments include the cost of one prescription. Titration A highly experienced consultant psychiatrist will conduct a thorough evaluation of your ADHD. This includes a complete medical history, and an evaluation using the typical ADHD questionnaires and rating scales. Following your assessment you will be advised whether medication may be beneficial in your case. This will happen at your follow up appointment (which could be in person, via video link or via phone). Your doctor will go over the different options for medication available. If you decide to start taking medication, we can help you to titrate your dose to maximize the benefits/side effects balance for you. This process could take a few weeks. It requires adjusting your child's dosage gradually until the proper balance is achieved. It's not uncommon to need to titrate several times before finding the one that is best for your child's ADHD symptoms. Parents must be involved in this titration process and keep a close eye on their child's behaviour to let the doctor know whether the medication is working or causing adverse effects. Unless you have decided to return to NHS care the medication you take will be provided with a private prescription which you'll have to pay for at the pharmacy (this is not included in your consultation fees). You will be required to attend every six months to check your medication, which includes blood pressure and pulse readings. I Am Psychiatry are also required. Follow-up appointments After the evaluation is completed and you are satisfied, you can schedule follow-up appointments with your psychiatrist. Usually the appointment will take place via a zoom video call but in certain circumstances it is possible to have an audio-only consultation (again at an additional cost). We will then discuss treatment options and choose the most appropriate, customized ADHD medication adjustment. This will include a review and discussion of your dosage of medication, as well as any adverse effects you might be experiencing. The cost of these titration appointments is PS150 for face-to-face sessions and PS60 for online or phone video consultations. The pharmacy will charge you for any medication costs. The doctor will also ask you about your family background and the impact your ADHD symptoms have on your life, as well as any issues with your relationships that you may be experiencing or other mental health issues you may be experiencing. ADHD can be a hereditary condition, so it's important to look into your family's history in order to determine if you're at chance of developing this condition. It is crucial to be honest and transparent to the doctor during this assessment, as the information they get will be used to determine if your ADHD fits the diagnostic criteria. This is a crucial step because an incorrect diagnosis could result in an inappropriate prescription of medication. If you've decided you would like to receive treatment for your ADHD We will arrange a follow up appointment with one of our psychiatrists who specialize in this field. If you'd like to start treatment right away it is possible to start treatment at the time of diagnosis. Or you can wait two weeks to think about the implications of the diagnosis and the options available to you. We recommend that if you are unsure of your preferences, talk with your GP prior to booking your private examination. Some providers have different policies on whether they require an GP letter. We also recommend to check if your GP accepts a “Shared Care Agreement which means that after you have been discharged from the clinic you will be referred back to them for the medication prescription. Medication Medication is an integral aspect of the treatment process for many who are seeking a private ADHD diagnosis. Getting an appointment with an NHS psychiatrist can be difficult and lengthy. NHS waiting lists are notoriously long and GPs are often reluctant to refer patients on 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). This means that you can choose an organization that offers an assessment and titration service. This can help you save 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 adjustment. You will be asked to fill in forms that differ by doctor but the main ones are self-report questionnaires and medical histories from childhood to adulthood. These forms will help your clinician determine if there are reasons that suggest you shouldn't take ADHD medication, even when they've been prescribed. If you are being titrated, the medication will be a combination stimulants and nonstimulant medicines. These will be thoroughly examined and monitored to determine the best combination for you. The process of titration can be lengthy and may need some additional appointments before you are stable on your dosage. The frequency of your follow-up appointments will be contingent on the type and amount of medication you're taking. They can be monthly or quarterly. Your doctor will ensure that you are stable with the medication, record any side effects that you've experienced and make any necessary adjustments to ensure that you remain on a safe dose. You are required to attend an annual review and a routine health examination which includes pulse, blood pressure, and weight measurements. For some individuals it could be that they are happy with their medication and don't require any further discussion on their titration. If you're required to discuss your titration or treatment plan further, it is possible that you'll be referred to the private clinic who made your initial assessment. In this case the titration will be included in the consultation fee. The medication will then be administered via the private prescription. This could cost more than prescriptions from the NHS, as the pharmacy will charge for the medication.