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Private ADHD Titration There is currently a nationwide shortage of medication that helps to treat ADHD symptoms. This is due to manufacturing issues and a growing global demand. Our service can 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 assessment of your ADHD. This includes an examination of your medical history as well as an assessment using the common ADHD rating scales and questionnaires. After your examination After your assessment, you will be informed whether medication is appropriate for your particular situation. This will take place during your follow-up appointment (which can be scheduled in person, via video link or via phone). Your clinician will discuss the various medication options available. If you decide to start medication, we can help you the option of titrating your dose to optimize the benefits/side-effects balance for you. This process can take several weeks and involves gradually adjusting your child's dosage until the appropriate balance has been achieved. It is not uncommon to have to adjust up to three different medicines until you discover the one that best fits your child's ADHD. It is essential for parents to take part in this process of titration and keep an watchful eye on their child's behavior so that they can inform the doctor whether the medication is working or causing adverse effects. If you decide to return to NHS treatment you will be issued an individual 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 will be required to attend every six months to check your medication. This includes pulse and blood pressure readings. Annual reviews are also required. Follow-up appointments After the assessment is completed you will be able to schedule appointment with the psychiatrist, as necessary. Typically, the appointment will take 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 go over treatment options and decide on an individualised, bespoke ADHD medication titration. This will include a review of your medication dose and a discussion around any adverse effects you may be experiencing. The cost of these titration consultations is PS150 for face to face sessions and PS60 for online or telephone video consultations. The pharmacy will charge you for any medication costs. The psychiatrist will ask 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 may be experiencing. This is due to the fact that ADHD can be a genetic condition and it is essential to look into any family history that could indicate that you're at risk of developing the disorder. It is crucial that you are honest and transparent to the doctor during this assessment, as the information they gather will be used to determine if your ADHD fits the diagnostic criteria. titration meaning ADHD is a crucial step, since an incorrect diagnosis could lead to inappropriate medication prescription. If you've decided you'd like to receive treatment for your ADHD We will schedule a follow-up appointment with one of our psychiatrists who specialise in this area. If you'd like to begin treatment immediately you can start treatment at the time of diagnosis. Or you can wait two weeks to think about the implications of the diagnosis and your options. If you're not sure what your preference is, we suggest that you speak with your GP before booking your private assessment as some providers have different policies regarding whether they require the submission of a GP referral letter or not. Make sure that your GP accepts a Shared Care Agreement, which means you will be referred to them once you leave the clinic to get a prescriptions for medication. Medication For many people who want a private diagnosis of ADHD, medication is a crucial part of their journey. Getting a prescription from an NHS psychiatrist can be a challenge and time-consuming. 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). You can choose a service that offers an assessment that is private and titration. This can reduce your wait time by a significant amount and is more convenient if you're working and have a hectic schedule. Once you have been recommended by this method your chosen doctor will examine you and decide whether or not you require to be monitored for a dose of medication. You will be asked to fill out forms that differ by doctor but the most important ones are self-report questionnaires and medical histories from childhood to adulthood. These forms will help your clinician determine if there are any factors that could mean that you shouldn't be taking ADHD medication, if they have been prescribed. If you are being titrated on medication, it is likely to be a combination of stimulants and non-stimulant medications. They will be carefully tested and monitored to determine the best combination for you, taking into consideration any medical conditions you may have. The process of titration can be lengthy and may require several additional appointments before you're able to stay on your dose. Depending on the type of medication you are taking, follow up appointments can be scheduled either monthly or quarterly. Your doctor will ensure whether you are stable on the medication, document any adverse reactions you have experienced and make any needed adjustments to ensure that you remain on a safe dose. You'll also be required to attend a routine health check which can include blood pressure, pulse and weight readings and an annual check-up. Some people may be satisfied with their treatment and don't need to discuss their titration process further. However, for those who do need further discussions about the titration process and treatment plan, it's possible that they will be referred back to the same private clinic that performed their initial assessment. In check here will be included in the consultation fee. The medication will then be provided through an individual prescription. It could cost more than an NHS prescription since the pharmacy will charge for the medication.