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

Our service is private ADHD treatment instead of waiting for NHS funding via Right to Choose. Our assessment fees include the cost of one prescription.

Titration

A thorough evaluation of your adhd titration meaning symptoms will be conducted by a highly experienced consultant psychiatrist. This includes a complete medical history and an assessment using the common ADHD questionnaires and rating scales.

After your assessment After your assessment, you will be informed whether medication is appropriate for your situation. The discussion will take place at your follow-up appointment (which could be in person, via video link or by phone). Your physician will explain to you what medication options are available and, if you choose to start on medication we will offer to titrate the dose to optimise the balance of benefits and side effects for you.

This process could take a few weeks and requires gradually altering your child’s medication until the appropriate balance is achieved. It's not uncommon to to titrate as high as three different medicines until you discover the one that best suits your child's ADHD. It's important for parents to take part in this process of titration and keep a close eye on their child's behavior to inform the doctor whether the medication is working or causing adverse effects.

Unless you have decided to return to NHS treatment the medication you take will be provided with an individual prescription that you will need to pay for at the pharmacy (this is not included in your consultation fee). You must attend six-monthly appointments to check your medications. This includes pulse and blood pressure measurements. Annual reviews are also required.

Follow-up appointments

After the evaluation is completed and you are satisfied, you can schedule follow-up appointments with your psychiatrist. Typically, the appointment will take place via a zoom video call however in some instances it may be possible to have an audio only consultation (again at an extra cost).

We will then discuss the options for treatment and then decide on a bespoke, individualised ADHD medication titration. This will include an assessment of your medication dosage 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. Medication costs are additional and are paid directly to the pharmacy.

The doctor will also ask you about your family history and the impact your ADHD symptoms impact your life, including any issues with relationships you may be facing or any other mental health problems that you may be experiencing. This is because ADHD is a genetic condition and it is important to examine any family history that could suggest that you are at risk of developing the disorder.

It is essential that you are honest and open to the doctor during this assessment, as the information they receive will be used to determine if your ADHD is in line with the diagnostic criteria. This is a crucial step, since an incorrect diagnosis could result in an inappropriate prescription of medication.

If you decide to seek treatment for ADHD we'll schedule a follow-up appointment with a psychiatrist who is specialized in this field. If you want to start treatment immediately you can start treatment when you are diagnosed. Or you can wait two weeks to think about the implications of the diagnosis and the options available to you.

If you are unsure of which one you prefer, we suggest that you speak to your GP before booking your private appointment as certain providers have different rules 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 that you will be referred to them once you leave the clinic to get a medication prescription.

Medication

Medication is a key aspect of the treatment process for many people seeking a private ADHD diagnosis. It isn't easy to obtain prescriptions from psychiatrists on the NHS. NHS waiting lists can be notoriously long and GPs may be reluctant to refer their patients to specialist services.

One method to circumvent this is to request your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). This means you can select an organization that offers an assessment and titration service. This can help you reduce time and be more convenient, especially in the event of a hectic schedule.

If you are recommended by this method your chosen doctor will assess you and decide whether or not you need to be adjusted on your medication. You will be asked to fill out forms that differ by doctor but the main ones are self-report questionnaires as well as medical histories from childhood to adulthood. These forms will assist your doctor determine any issues that could mean you shouldn't take ADHD medication if prescribed.

If you are being titrated the medication will consist of a mixture of stimulants and nonstimulant medicines. The combination will be carefully tested and monitored to find the most suitable combination for you, taking into account any medical conditions you may have. The titration process can be lengthy and may require some additional appointments before you're able to stay on your dose.

Depending on the kind of medication you're taking, follow up appointments could be scheduled monthly or quarterly. Your physician will make sure whether you are safe with the medication, document any side effects you have experienced and make any necessary adjustments to ensure you remain on a safe dosage. You will also be required to undergo a regular health check, which could include blood pressure readings, pulse and weight as well as an annual review.

Some people may be satisfied with their medication and do not need to discuss their titration for adhd in more detail. However, for those who do need further discussions about the titration adhd meds process and treatment plan, it's possible to be referred back to the same private clinic that made their initial assessment. In this case the titration for adhd will be included in the consultation cost. The medication will then be provided through an individual prescription. This can cost more than a prescription from the NHS since the pharmacy will charge for the medication.