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Private ADHD Titration There is currently a nationwide shortage of medication 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 cover the cost of a single prescription. Titration A thorough assessment of your ADHD symptoms will be conducted by a highly experienced consultant psychiatrist. This includes a complete medical history and an assessment using the common ADHD questionnaires and rating scales. After your examination After your assessment, you will be informed whether medication is appropriate for your situation. This will be discussed during your follow-up appointment (which can be done in person by video link, in person or via phone). Your doctor will go over the various medication options available. If you decide to start medication, we can help you the opportunity to increase your dosage to maximize the benefits/side effects balance for you. This process may take several weeks, and it involves gradually altering your child’s medication until the right balance is reached. It's not uncommon to need to titrate two or three medicines before finding the one that is best for your child's ADHD symptoms. Parents must be involved in this titration process, and keep an eye on their child's behavior, so that they can inform the doctor if the medicine is helping or causing adverse effects. If you do not decide to return to NHS treatment the medication you take will be given as a private prescription which you'll have to pay for at the pharmacy (this is not included in the consultation fee). You'll need to attend six-monthly appointments to monitor your medications. This includes blood pressure and pulse measurements. Annual reviews are also required. Follow-up appointments After the assessment is complete and you are satisfied, you can schedule follow-up appointments with the psychiatrist. The appointment is typically conducted by video conference using zoom. However, in some cases, it may be possible for an audio-only consultation to be scheduled (again with an additional cost). We will then discuss treatment options and choose an individualised, bespoke ADHD medication titration . This will include a review of your medication dosage and an examination of any negative side effects you may be experiencing. The titration sessions cost PS150 for face-to-face sessions and PS60 by video or phone consultation. Costs for medication are extra and are paid directly to the pharmacy. The psychiatrist will also ask you about your family background and the impact your ADHD symptoms can have on your life, including any issues with your relationships that you may be facing or any other mental health problems that you might be experiencing. ADHD is a genetic condition, so it's important to look into your family's history to determine if you are at chance of developing this disorder. It is essential to be honest and transparent with your doctor during this assessment, as the information they receive will be used to determine whether your ADHD fits the diagnostic criteria. This is a crucial step, since a wrong diagnosis could lead to inappropriate medication prescription. If you decide to seek treatment for ADHD, we'll arrange an appointment for a follow-up visit with a psychiatrist who is specialized in this field. If you'd like to start treatment right away you can start treatment at the time of diagnosis. Or you can wait two weeks to consider the implications of the diagnosis and the options available to you. If you aren't sure what you would prefer, we suggest that you speak with your GP prior to scheduling your private appointment as certain providers have different policies regarding whether they require the submission of a GP referral letter or not. Check if your GP accepts the Shared Care Agreement, which means you will be referred to them once you leave the clinic for prescription medication. Medication For many people who seek a private diagnosis of ADHD treatment is a crucial part of their journey. It can be difficult to get a prescription from a psychiatrist on the NHS. NHS waiting lists are notoriously long and GPs are often reluctant to refer 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). You can choose a service that offers a private assessment service and titration. This can cut down on wait time considerably and can be more convenient if you are working and have a full schedule. Once you have been recommended by this method, your chosen clinician will examine you and decide whether or not you need to be adjusted on your medication. You'll have to fill out forms that vary by doctor but the most frequent ones are self-reporting forms and medical histories that go to childhood and adulthood. These forms will assist your doctor identify any conditions that could suggest you should not take ADHD medications if they're prescribed. If you are on a titration medication, this will usually include a mix of stimulants and non-stimulant medications. 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 process of titration can be long and could require a few extra appointments before you're stable on your dose. Depending on the kind of medication you're taking, follow up appointments can be scheduled either monthly or quarterly. Your clinician will check whether you are safe with the medication, record any side effects you've experienced, and make any necessary adjustments to ensure that you remain on a safe dose. You will be required to attend an annual health check-up and regular health check-up that includes blood pressure, pulse, and weight measurements. For some, it may be that they are happy with their medication and don't require an additional discussion regarding their titration. However, for those who do need further discussions about their titration and treatment plan it is possible that they will be passed back to the private clinic that made their initial assessment. In this case, the titration will be included in the consultation cost. The medication will be given via the private prescription. This can cost more than prescriptions from the NHS since the pharmacy will charge for the medication.