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Private ADHD Titration There is a nationwide shortage of medications to treat ADHD symptoms. This is due to manufacturing problems as well as an increased demand in the world. Our service provides private ADHD titration instead of waiting for NHS funding through Right to Choose. Our assessment fees include the cost of a single prescription. Titration A highly skilled consultant psychiatrist will conduct a comprehensive assessment of your ADHD. This includes medical history and an assessment using the common ADHD rating scales and questionnaires. Following your assessment you will be advised whether medication may be beneficial in your particular situation. This will be discussed at your follow-up appointment (which can be done in person by video link, in person or by phone). Your physician will explain to you the different options available for you to take medication and if you decide to start on medication we will offer to titrate the dose to maximize the benefits/side effects balance for you. This process can take several weeks and involves gradually adjusting your child’s medication until the appropriate balance has been achieved. It is not unusual to need to adjust three or four medications before finding the one that is best for your child's ADHD symptoms. It is important that parents take part in the titration process and be aware of their child's behavior, so they can inform doctors whether the medication is working or causing adverse effects. Unless you have decided to return to NHS treatment the medication you take will be given as an individual prescription that you will need to pay for 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 blood pressure and pulse readings. Annual exams are also required. Follow-up appointments Once the assessment has been completed you will be able to make appointment with the psychiatrist as necessary. The appointment is usually done via zoom video call. In Iam Psychiatry , it could be possible for an audio-only consultation to be scheduled (again with an additional cost). At this point, we will discuss any treatment options we have and decide on a custom-made ADHD medication titration program. This will include a review and discussion of your medication dose, as well as any side effects that you might be experiencing. The cost of these titration consultations is PS150 for face-to face sessions and PS60 for online or telephone video consultations. Costs for medication are extra and are paid directly to the pharmacy. The psychiatrist will also ask you about your family history and the impact your ADHD symptoms can have on your life, as well as any relationship issues you might be facing or any other mental health problems that you may be experiencing. ADHD can be a hereditary condition, which is why it's crucial to assess your family background to determine if you are at risk of developing this disorder. During this assessment it is crucial that you are truthful and honest with the clinician in the sense that they will use the information you provide to determine if you have 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'd like to be treated for your ADHD, we will then set up a follow-up appointment with one of our psychiatrists who specialize in this field. If you want to start treatment right away, you can do this at the time of diagnosis. You can also take two weeks to think about the implications of the diagnosis and your options. We suggest that if are unsure about your preferences, you speak with your GP prior to scheduling your private assessment. Some providers have different guidelines regarding whether or not they require a GP letter. We also recommend that you check whether your GP accepts a 'Shared Care Agreement', which means that once you are discharged from the clinic, you will be referred back to them for the prescription for medication. Medication Medication is a key part of the journey for many people who are seeking a private ADHD diagnosis. It isn't always easy to obtain prescriptions from psychiatrists on the NHS. NHS waiting lists are notoriously long and GPs can be 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). This means that you can select one that provides a private assessment and titration. This will help you reduce time and be more convenient, especially when you are on a tight work schedule. After you've been referred through this route the doctor you choose will examine you and decide whether or not you need to be adjusted on your medication. You'll need to fill out forms that are different for each provider but the most frequent ones are self-reporting questionnaires and medical histories dating to childhood and adulthood. These forms will help your clinician determine if there are circumstances that indicate you shouldn't be taking ADHD medication, if they have been prescribed. If you are being titrated, the medication will be a combination stimulants and non-stimulant drugs. These will be thoroughly tested and monitored to find the right combination for you. The titration procedure 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 quantity of medication you are taking. They can be monthly or quarterly. Your physician will make sure whether you are safe with the medication, record any adverse reactions you've experienced, and make any necessary adjustments to ensure that you remain on a dose that is safe. You will also be required to undergo a regular health check that may include blood pressure and pulse readings, as well as weight and weight measurements and an annual check-up. For some individuals it could be that they are satisfied with their medication and don't need any further discussion on their titration. If, however, they require further discussion about their titration and treatment plan it's possible to be referred back to the same private clinic that made their initial assessment. In this scenario the titration is included in the consultation cost. The medication will be given via an individual prescription. This can cost more than an NHS prescription as the pharmacy will charge for the medication.