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Private ADHD Titration There is currently a national shortage of medications to treat ADHD symptoms. This is due to manufacturing issues and an increased global demand. Our service provides private ADHD adjustment instead of waiting for NHS funding through Right to Choose. Our assessment fees include the cost of a single prescription. Titration A thorough evaluation of your ADHD symptoms will be conducted with a highly experienced consultant Psychiatrist. This includes a thorough medical history, and an evaluation using the standard ADHD questionnaires and rating scales. After your examination You will be advised if medication would be beneficial for your specific situation. This will be discussed during your follow-up appointment (which could be in person, via video link or by phone). Your clinician will explain the various options for medication and, if you decide to begin taking medication, we will suggest titrating dosage to ensure the benefits/side effects balance for you. This process can take several weeks and involves gradually adjusting your child’s medication until the proper balance is reached. It's not uncommon to need to adjust several times before finding the best one for your child's ADHD symptoms. Parents must be involved in this titration process and keep an watchful eye on their child's behavior to let the doctor know if the medicine is helping or causing side effects. Unless you have decided to return to NHS treatment, your medication will be given as an individual prescription that you'll need to pay for at the pharmacy (this is not included in the consultation fee). You will need to attend six-monthly appointments to monitor your medications. This includes the measurement of pulse and blood pressure. Annual exams are also required. Follow-up appointments After the assessment is complete and you are satisfied, you can schedule follow-up appointments with your psychiatrist. The appointment is typically conducted through a zoom video call. However, in certain circumstances, it might be possible to have an audio-only consultation to be scheduled (again at an additional cost). At this point we will discuss any treatment options we have and decide on a custom-made ADHD medication titration strategy. This will include a review of your medication dose and a discussion of any possible side effects you might be experiencing. These titration sessions cost PS150 for face-to-face sessions, and PS60 via telephone or video consultation. Costs for medication are extra and are paid directly to the pharmacy. The doctor will also ask you about your family background and the impact your ADHD symptoms can have on your life, including any relationship issues you might be experiencing or other mental health issues you might be experiencing. ADHD is a genetic condition, which is why it's crucial to examine your family background to determine if you're at chance of developing this disorder. During this assessment it is vital that you are truthful and honest with the clinician who will use the information you provide to determine if you are able to meet the diagnostic criteria for ADHD. This is a crucial step, as a wrong diagnosis could result in an inappropriate prescription of medication. If you decide to be treated for ADHD We'll set up an appointment to follow-up with a psychiatrist who is specialized in this area. This can be done in the wake of your diagnosis if you are eager to begin treatment right away, or within two weeks if you would like more time to think about the implications of your diagnosis and the alternatives that are available to you. If you aren't sure which one you prefer it is recommended that you speak to your GP prior to booking your private assessment as some providers have different policies about whether they require an GP referral letter or not. We also suggest that you check whether your GP accepts a “Shared-Care Agreement which means that after you have been discharged from the clinic you will be returned to them for the prescription for the medication. Medication Medication is a key part of the journey for many who are seeking an official ADHD diagnosis. Finding 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 their patients to specialist services. Asking your GP to refer through Right to Choose is one way to avoid this (see psychiatry – UK and ADHD 360). You can pick a provider who offers a private assessment service and titration. This can cut down on wait time considerably and can be more convenient if you're working and have a busy schedule. Once you have been identified as a candidate for this treatment the doctor you choose will examine you and decide whether or not you require to be adjusted on your medication. You'll need to fill out forms that are different for each provider however the most commonly used ones are self-reporting questions and medical histories going to your childhood and into adulthood. They will help your physician identify any conditions that could indicate that you shouldn't be taking ADHD medications if they're prescribed. If you are being titrated, the medication will consist of a mixture of stimulants and nonstimulant medications. adhd titration service will be carefully tested and monitored to determine the most effective combination for you, taking into account any medical conditions you may have. The titration process may be lengthy and may need a few extra appointments before you are stable on your dose. Depending on the kind of medication you're taking, follow up appointments will be either monthly or quarterly. Your doctor will ensure that you are stable with the medication, document any side effects that you've experienced, and make any necessary adjustments to ensure you remain on a safe dosage. You will be required to go to an annual health check-up and regular health check-up that includes pulse, blood pressure and weight measurements. For some people it could be because they are happy with their medication and don't need an additional discussion regarding their titration. If you're looking to discuss your titration or treatment plan further it is possible that you'll be sent back to the private doctor who made your initial assessment. If this occurs, the titration consultation will be included in the consultation fees and they will receive their medication through a private prescription (see Consultation fees above). This could cost more than prescriptions from the NHS because the pharmacy will charge for the medication.