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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 an increased global demand. iampsychiatry.uk is able to provide private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessments are free and 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 informed whether medication may be beneficial in your case. This will be discussed during your follow-up appointment (which can take place in person, via video link or over the phone). Your clinician will explain the different options available for you to take medication and, if you decide to begin taking medication, we will suggest titrating dosage to ensure the balance of benefits and side effects for you. This process may take a few weeks and involves gradually adjusting your child's medication until the right balance has been achieved. It is not unusual to need to adjust two or three medicines before finding the best one for your child's ADHD symptoms. It is essential for parents to take part in this process of titration and keep an eye on their child's behavior to let the doctor know whether the medication is working or causing side effects. If you decide to go back to NHS treatment you will be issued a private prescription for your medication. You will be required to pay the pharmacy. This is not included in the consultation fee. You'll be required to attend regular appointments every six months to monitor your medication. This includes pulse and blood pressure readings. Annual checks are also required. Follow-up appointments Once the assessment is completed after the assessment is completed, you can make follow-up appointments with the psychiatrist. The appointment usually takes place on zoom video call, although in certain cases it might be possible to have an audio-only consultation (again at an extra cost). At this point we will discuss any treatment options we have and decide on a custom-made ADHD medication titration program. This will include an assessment of your medication dose and a discussion around any adverse effects you may be experiencing. These titration sessions cost PS150 for face-to-face sessions, and PS60 via video or telephone consultation. The pharmacy will charge you for any medication costs. The psychiatrist will ask you questions regarding your family history as well as the effects of your ADHD symptoms on your daily life and any mental health issues that you may be experiencing. ADHD is a genetic condition, so it's important to examine your family background to determine if you are at a greater chance of developing this disorder. It is important to be honest and transparent to the doctor during this assessment, as the information they gather will be used to determine if your ADHD is in line with the diagnostic criteria. This is an important step because the wrong diagnosis can lead to inappropriate medication prescription. If you've decided that you'd like to receive treatment for your ADHD, we will then set up a follow-up appointment with one of our psychiatrists that specialize in this area. If you want to start treatment right away, you can do this at the time of diagnosis. You can also take two weeks to think about the implications of the diagnosis and the options available to you. We recommend that if you are unsure about your preferences, talk with your GP prior to booking your private examination. Some providers have different policies regarding whether they require a GP letter. Make sure that 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 who wish to obtain a private diagnosis of ADHD medication is a crucial part of their journey. 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. Asking 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 choose one that provides an assessment and titration service. This will help you save time and be more convenient, particularly if you have a busy work schedule. After you've 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 will be asked to fill out forms that differ by doctor but the most common ones are self-report questionnaires and medical histories from childhood to adulthood. These forms will assist your doctor identify any conditions that could suggest you should not take ADHD medication if prescribed. If you are on a titration medication, it is likely to include a mix of stimulants and non-stimulant medications. These will be thoroughly assessed and monitored to determine the most suitable combination for you. The process of titration can be lengthy and may require some additional appointments before you're stable on your dose. Depending on the kind of medication you are taking, follow up appointments could be scheduled monthly or quarterly. The appointment will involve your doctor checking that you are stable on the medication, noting any adverse effects you've experienced, and making any necessary adjustments to ensure that you remain on a dose that is safe. You will be required to go to an annual review and a routine health examination which includes blood pressure, pulse, and weight measurements. Some patients may be content with their medication, and don't have to discuss their titration process further. If, however, they require further discussion about their titration and treatment plan it is possible that they will be passed back to the private clinic that performed their initial assessment. In this scenario the titration is included in the consultation fee. The medication will be administered via the private prescription. This may cost more than a prescription from the NHS, as the pharmacy will charge for the medication.