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Private ADHD Titration There is currently a nationwide shortage of medication that helps to treat ADHD symptoms. This is due both to manufacturing issues and an increase in demand worldwide. Our service offers private ADHD adjustment instead of waiting for NHS funding through Right to Choose. Our assessment fees include the cost of one prescription. Titration A thorough assessment of your ADHD symptoms will be conducted by a highly experienced consultant psychiatrist. This includes a complete medical history, as well as an assessment using the common ADHD questionnaires and rating scales. After your examination, you will be informed if medication is considered to be beneficial for your situation. This will be discussed during your follow-up appointment (which may be scheduled in person, via video link or by phone). Your clinician will discuss the different options for medication available. If you decide to begin medication, we will offer you to titrate your dose to optimize the benefits/side-effects balance for you. This process may take several weeks, and it involves gradually altering your child’s medication until the appropriate balance is reached. It is not uncommon to to titrate as high as three different medicines until you discover the one that is most suitable for your child's ADHD. It's important for parents to be involved in this titration process and keep an watchful eye on their child's behavior to inform the doctor whether the medication is working or causing side effects. If you decide to return to NHS treatment and have decided to return to NHS care, your medication will be provided with a private prescription which you'll need to pay for at the pharmacy (this is not included in the consultation fee). You'll need to keep up with your appointments every six months to monitor your medications. This includes the measurement of pulse and blood pressure. Annual checks are also required. Follow-up appointments Once the assessment is completed, you can schedule follow-up appointments with your psychiatrist. The appointment is typically conducted via zoom video call. However, in certain circumstances, it might be possible to have an audio-only appointment to be scheduled (again with an additional cost). We will then go over treatment options and choose an individualised, bespoke ADHD medication adjustment. 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 phone video consultations. The pharmacy will charge you for any cost of medication. The psychiatrist will ask you questions about your family history, the effects of your ADHD symptoms on your daily life and any mental health issues you might be suffering from. ADHD can be a genetic condition, which is why it's crucial to look into your family's history to determine if you're at a greater chance of developing this disorder. During this assessment it is essential to be truthful and open with the doctor, as they will be using the information you provide to determine if you are able to meet the diagnostic criteria for ADHD. This is an important step, as the wrong diagnosis can result in an inappropriate prescription of medication. If you've 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 field. This can be scheduled in the wake of your diagnosis if are keen to begin treatment immediately, or within two weeks if you prefer to take time to think about the implications of your diagnosis and the alternatives that are available to you. We suggest that if are unsure of your preferences, talk with your GP prior to booking your private assessment. Some providers have different guidelines regarding whether or not they require an GP letter. We also recommend that you check whether your GP accepts a “Shared Care Agreement that means that once you are discharged from the clinic, you will be referred back to them for the medication prescription. Medication The medication process is an essential element of the process for many who are seeking an official ADHD diagnosis. It isn't easy to obtain prescriptions from psychiatrists on the NHS. NHS waiting lists can be extremely long and GPs might be reluctant to refer patients to specialist services. Requesting your GP to refer through Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). This means that you can select a provider that offers a private assessment and titration service. This will help you reduce time and be more convenient, particularly when you are on a tight work schedule. If you are recommended, your physician will evaluate your condition to determine if you require medication adjustment. You will need to complete forms that vary by doctor however the most commonly used ones are self-reporting questionnaires and medical histories that go to your childhood and into adulthood. These forms will assist your doctor identify any conditions that could indicate that you shouldn't be taking ADHD medications if they are prescribed. If you are on a titration medication, this will usually consist of stimulants and non-stimulant medications. The combination will be carefully tested and monitored to find the most suitable combination for you, taking into account any current conditions you suffer from. The titration process can be a lengthy process and may require a number of additional appointments before the dose becomes stable. The frequency of your follow-up appointments will depend on the type and quantity of medication you are taking. They can be monthly or quarterly. This will involve your clinician making sure that you are taking the correct medication, logging any side effects you've experienced and making any adjustments needed to ensure that you're on a safe dosage. You are required to attend an annual review and a regular health check-up that includes pulse, blood pressure and weight measurements. For some people, it may be that they are happy with their medication and don't need an additional discussion regarding their titration . However, for those who require further discussions regarding their titration and treatment plans, it is possible that they will be referred back to the same private clinic that conducted their initial assessment. In this instance the titration is included in the consultation cost. The medication will then be administered via a private prescription. This can cost more than an NHS prescription since the pharmacy will charge for the medication.