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Private ADHD Titration There is currently a nationwide shortage of medications to treat ADHD symptoms. This is due to manufacturing issues and increased global demand. Our service provides private ADHD adjustment instead of waiting for NHS funding via Right to Choose. Our assessment fees include the cost of one prescription. Titration A highly experienced consultant psychiatrist will conduct a thorough assessment of your ADHD. This includes a complete medical history, and an evaluation using the standard ADHD questionnaires and rating scales. After your evaluation, you will be advised that medication may be beneficial in your particular situation. This will be discussed during your follow-up appointment (which can be done in person via video link or via phone). Your physician will go over the different options for medication available. If you decide to start medication, we will help you to titrate your dose to optimize the benefits/side-effects balance for you. This process may take several weeks and requires adjusting your child's dosage gradually until the proper balance is achieved. It is not unusual to need to adjust two or three medicines before finding the one that is best for your child's ADHD symptoms. It is essential that parents take part in the titration and be on the lookout for their child's behavior, so they can let the doctors know whether the medication is working or causing adverse effects. Unless you have decided to return to NHS care and have decided to return to NHS care, your medication will be issued with a prescription from a private pharmacy that you'll need to pay for at the pharmacy (this is not included in the consultation fee). You will be required to attend every six months to check your medication – this includes pulse and blood pressure readings. Annual reviews are also mandatory. Follow-up appointments Once the evaluation has been completed, you'll be able to make follow up appointments with your psychiatrist, if necessary. The appointment is typically conducted by video conference using zoom. However, in some instances, it could be possible for an audio-only consultation to be scheduled (again with an additional cost). We will then discuss treatment options and choose the most appropriate, customized ADHD medication adjustment. This will include a review of your medication dosage as well as an examination of any negative side effects you may be experiencing. The titration sessions cost PS150 for face-toface sessions and PS60 via telephone or video consultation. The pharmacy will be charged for any charges for medication. The psychiatrist will also ask you about your family background and the impact your ADHD symptoms impact your life, as well as any issues with relationships you may be facing or any other mental health issues you may be suffering from. This is due to the fact that ADHD is an inheritable condition, and it is essential that we assess any family history that might indicate whether you are at risk of developing the disorder. During the assessment, it is vital to be truthful and honest with the clinician, as they will use the information you provide to determine if you are able to meet the diagnostic criteria for ADHD. This is a vital part of the process, as failing to do so could result in an incorrect diagnosis and therefore inappropriate prescribing of medication. If you have decided that you would like to receive treatment for your ADHD We will set up a follow-up appointment with one of our psychiatrists who specialise in this field. If you'd like to start treatment immediately, you can do this immediately following the diagnosis. You can also wait two weeks to consider the implications of the diagnosis and your options. We suggest that if you are unsure of your preferences, you speak to your GP prior to booking your private examination. Some providers have different guidelines regarding whether or not they require the submission of a GP letter. Make sure that your GP accepts a Shared Care Agreement, which means you will be referred to them after you leave the clinic for prescription medication. Medication Medication is an integral aspect of the treatment process for many people who are looking for a private ADHD diagnosis. It can be difficult to get an appointment with a psychiatrist on the NHS. NHS waiting lists are notoriously long and GPs may be reluctant to refer patients on to specialist services. Inquiring your GP to refer through Right to Choose is one way to avoid this (see psychiatry – UK and ADHD 360). You can select a provider who offers an assessment on your own and titration. This can reduce your wait time by a significant amount and is more convenient if you are working and have a hectic schedule. If you are recommended, your physician will assess your condition to determine if you require medication titration. You'll need to fill out forms that are different for each provider but the most frequent ones are self-reporting questions and medical histories that go back to childhood and adulthood. These forms will allow your doctor to determine if there are any factors that could mean that you shouldn't be taking ADHD medication, even when they've been prescribed. If go!! are being titrated, the medication will consist of stimulants and non-stimulant drugs. The combination will be carefully tested and monitored to determine the best combination for you, taking into account any current conditions you suffer from. The titration process can be lengthy and may need a few extra appointments before you're stable on your dosage. The frequency of your follow-up appointments will depend on the type and quantity of medication you're taking. They can be monthly or quarterly. This will include your physician checking to see if you are stable on the medication, recording any side effects you've experienced, and making any necessary adjustments to ensure that you remain on a dose that is safe. You are required to attend an annual health check-up and routine health exam that includes blood pressure, pulse, and weight measurements. For some people, it may be that they are content with their medication and don't require a further discussion about their titration. If you're required to discuss your titration or treatment plan further it is likely that you'll be referred back to the private clinic that performed your initial evaluation. If this happens, 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 can cost more than a prescription from the NHS because the pharmacy will charge you for the medication.