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

Our service is able to offer private adhd medication titration ADHD titration as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees cover the cost of a single prescription.

Titration

A thorough assessment of your ADHD symptoms will be carried out by an experienced consultant Psychiatrist. This includes a thorough medical history, and an evaluation using the typical ADHD questionnaires and rating scales.

After your examination You will be advised that medication may be beneficial for your situation. This will be discussed during your follow-up appointment (which can take place in person, by video link or by phone). Your doctor will go over the various medication options available. If you decide to start taking medication, we can help you the option of titrating your dose to maximize the benefits/side effects balance for you.

This process could take a few weeks and requires adjusting your child's dosage gradually until the proper balance is 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 essential that parents take part in the titration process and be aware of their child's behavior, so they can inform the doctor if the medication is helping or causing adverse reactions.

If you do not decide to return to NHS care, your medication will be given as an individual prescription that you will need to pay for at the pharmacy (this is not included in your consultation fee). You'll need to keep up with your appointments every six months to monitor your medications. This includes pulse and blood pressure measurements. Annual checks are also required.

Follow-up appointments

Once the assessment has been completed, you'll be able to schedule follow-up appointments with your psychiatrist, if appropriate. 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 extra cost).

In this session, we'll discuss any treatment options we have and decide on a custom-made ADHD medication titration program. This will include an assessment of your medication dosage as well as a discussion of any possible side effects you might be experiencing. These titrations cost PS150 for face-toface sessions and PS60 via video or telephone consultation. The cost of medication is additional and are paid directly to the pharmacy.

The psychiatrist will ask you questions regarding your family history, the impact of your ADHD symptoms on your life and any relationship problems or mental health issues you might be suffering from. ADHD is a genetic condition, and it's vital to assess your family history in order to determine if you are at a higher risk of developing this disorder.

It is essential 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. This is a vital 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 have decided that you'd like to be treated for your ADHD We will arrange 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 when you are diagnosed. Or you can wait for two weeks before considering the implications of the diagnosis and the options available to you.

If you are unsure of what you would prefer We suggest you speak to your GP prior to booking your private assessment as some providers have different policies regarding whether they require a GP referral letter or not. Check if your GP accepts the Shared Care Agreement, which means that you will be referred to them once you leave the clinic to get a prescriptions for medication.

Medication

For many people who want an official diagnosis of ADHD medication is a key part of their journey. Finding prescriptions from an NHS psychiatrist can be difficult and lengthy. NHS waiting lists can be notoriously long, and GPs might be reluctant to refer their patients to specialist services.

One method to avoid this is to request your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). You can choose a service that offers a private assessment service and titration. This can reduce your wait time considerably and can be more convenient if you're working and have a full schedule.

If you are diagnosed, your doctor will assess your condition to determine if you need medication adjustment. You will be asked to fill out forms that are different for each provider, but the main ones are self-report forms and medical histories from childhood and adulthood. These forms will allow your doctor to determine if there are circumstances that indicate you shouldn't be taking ADHD medications, in the event that they've been prescribed.

If you are titrated, the medication will consist of a mixture of stimulants and nonstimulant medicines. The combination will be carefully tested and monitored to find the best combination for you, taking into account any current conditions you suffer from. The titration procedure can be a lengthy process and may require several extra appointments before you are stable.

The frequency of your follow-up appointments will depend on the type and amount of medication that you are taking. They can be monthly or quarterly. Your doctor will ensure whether you are safe with the medication, document any side effects that you have experienced and make any necessary adjustments to ensure you remain on a safe dose. You will be required to attend an annual review as well as a routine health exam that includes pulse, blood pressure and weight measurements.

Some people might be satisfied with their medication, and do not have to discuss their titration further. If you're looking to discuss your titration or treatment plan more thoroughly it is likely that you'll be referred to the private clinic who performed your initial assessment. If this occurs, the titration appointment will be included in their consultation fee, and they will be given their medication through private prescription (see Consultation fees above). This may cost more than prescriptions from the NHS because the pharmacy will charge for the medication.