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There is a current national shortage of medication to treat ADHD symptoms. This is due to manufacturing problems and increased global demand.

Our service is able to offer private ADHD testing as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees include the cost of one prescription.

Titration

A highly experienced consultant psychiatrist will conduct a comprehensive assessment of your ADHD. This includes an examination of your medical history as well as an assessment using the typical ADHD rating scales and questionnaires.

Following your assessment you will be advised that medication may be beneficial in your case. This will take place during your follow-up appointment (which can be scheduled in person, via video link or by phone). Your physician will go over the various options for medications available. If you decide to start medication, we will offer you the option of titrating your dose to optimize the benefits/side-effects balance for you.

This process can take several weeks and it involves gradually altering your child’s medication until the appropriate balance is reached. It is not unusual to need to adjust three or four medications before finding the best one for your child's ADHD symptoms. It is essential that parents are involved in the titration process and be on the lookout for their child's behavior so that they can inform the doctor whether the medication is working or causing adverse reactions.

Unless you have decided to return to NHS treatment 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 the consultation fee). You will be required to attend six monthly appointments to monitor your medication. This includes blood pressure and pulse readings. Annual reviews are also required.

Follow-up appointments

Once the evaluation has been completed, you will be able to schedule appointment with your psychiatrist, if appropriate. The appointment will usually be conducted through a zoom video call. However, in certain cases, it may be possible for an audio-only appointment to be conducted (again at an additional cost).

We will then go over the options for treatment and then decide on a bespoke, individualised ADHD medication titration period adhd. This will include a review and discussion of your dosage of medication, as well as any side effects you might be experiencing. The cost of these titration appointments is PS150 for face-to-face sessions and PS60 for telephone or online video consultations. Medication costs are additional and are paid directly to the pharmacy.

The psychiatrist will also inquire with you about your family background and the impact your ADHD symptoms can have on your life, including any issues with relationships you may be facing or any other mental health issues you may be experiencing. This is because ADHD is a genetic condition and it is important that we assess any family history that may indicate whether you are at risk of developing the disorder.

During the assessment, it is essential that you are honest and open with the doctor, as they will be using the information you provide to determine if you are able to meet the diagnostic criteria for ADHD. This is an essential step in the process, since a failure to do so could result in an incorrect diagnosis and consequently an inappropriate prescription of medication.

If you decide to be treated for adhd titration meaning we'll schedule an appointment for a follow-up visit with a psychiatrist who specializes in this area. This can be scheduled within the first few days of your diagnosis if you are eager to begin treatment right away, or within two weeks if you prefer to take time to think about the implications of your diagnosis and the alternatives available to you.

If you are unsure of what you would prefer, we suggest that you talk 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. Find out if your GP accepts a Shared Care Agreement, which means that you will be referred to them once you leave the clinic for prescription medication.

Medication

For many who wish to obtain a private diagnosis of ADHD medication is an important part of their journey. Getting an appointment with an NHS psychiatrist can be difficult and lengthy. NHS waiting lists can be extremely long and GPs might 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). This means that you can select an organization that offers an assessment and titration service. This can cut down on wait time significantly and is more convenient if you're working and have a hectic schedule.

Once you have been referred through this route, your chosen clinician will examine you and decide whether or not you're required to be adjusted on your medication. You will be asked to fill in forms that vary by provider but the most important ones are self-report forms and medical histories from childhood and adulthood. These forms will help your clinician determine if there are any factors that could mean that you shouldn't be taking ADHD medications, in the event that they've been prescribed.

If you are on a titration medication, this will usually include a mix of non-stimulant and stimulant medications. 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 can be lengthy and may require multiple appointments before the dose becomes stable.

Depending on the type of medication you're taking, follow-up appointments will be either monthly or quarterly. This will include your physician making sure that you are taking the correct medication, noting any adverse effects you've experienced, and making any necessary adjustments to ensure that you remain in a safe dosage. You'll also be required to attend a routine health check that may include blood pressure, pulse and weight readings and an annual check-up.

Some people might be satisfied with their medication and do not have to discuss their titration process further. For those who require further discussion about the titration process and treatment plan, it's possible that they will be passed back to the same private clinic that conducted their initial assessment. In this scenario the titration will be included in the consultation fee. The medication will then be administered via a private prescription. This can cost more than an NHS prescription because the pharmacy will charge for the medication.