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Private ADHD Titration There is currently a national shortage of medication that helps to treat ADHD symptoms. Iam Psychiatry is due to manufacturing problems and the growing demand for ADHD medications worldwide. Our service offers private ADHD titration instead of waiting for NHS funding through Right to Choose. Our assessments cost include the cost of one prescription. Titration A highly experienced consultant psychiatrist will conduct a comprehensive assessment of your ADHD. This includes a medical history and an assessment using the standard ADHD rating scales and questionnaires. After your examination After your assessment, you will be informed that medication may be beneficial for your particular situation. This will happen at your follow-up appointment (which can be done in person, via video link or via phone). Your clinician will explain the different options available for you to take medication and, if you decide to start on medication we will recommend titrating the dose to maximize the balance of benefits and side effects for you. This is a process which could take a few weeks. It involves adjusting your child's medication slowly until the right balance is achieved. It is not unusual to have to titrate two or three medicines before finding the best one for your child's ADHD symptoms. Parents must take part in this process of titration, and keep an watchful eye on their child's behavior to inform the doctor whether the medication is helping or causing adverse effects. If you do not decide to return to NHS treatment and have decided to return to NHS care, your medication will be issued with a private prescription which you will need to pay for at the pharmacy (this is not included in your consultation fee). You must attend six-monthly appointments to monitor your medication. This includes blood pressure and pulse measurements. Annual reviews are also required. Follow-up appointments Once the assessment has been completed you will be able to book follow up appointments with your psychiatrist, if necessary. The appointment is usually done via zoom video call. In some circumstances, it might be possible to have 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 discussion and review of your medication dose, as well as any side effects you might be experiencing. These titration sessions cost PS150 for face-to-face sessions, and PS60 by video or phone consultation. The cost of medication is additional and are paid directly to the pharmacy. The psychiatrist will ask you questions about your family history and the effects of your ADHD symptoms on your life and any mental health issues you may be experiencing. ADHD is a genetic condition, and it's vital to look into your family's history to determine if you are at risk of developing this disorder. It is crucial that you are honest and transparent with your doctor during this evaluation, as the information they get will be used to determine if your ADHD fits the diagnostic criteria. This is a vital step in the process since a failure to do so could result in an incorrect diagnosis, and thus an incorrect prescribing of medication. If you've decided you would like to be treated for your ADHD We will schedule a follow-up appointment with one of our psychiatrists who specialize in this field. If you'd like to begin treatment immediately it is possible to start treatment immediately following the diagnosis. You can also wait for two weeks before considering the implications of the diagnosis and what options you have. We recommend that if you are unsure of your preferences, you speak to your GP prior to scheduling your private assessment. Some providers have different policies on whether or not they require an GP letter. Check if your GP accepts a Shared Care Agreement, which means you will be referred to them when you leave the clinic for prescription medication. Medication Medication is a key element of the process for many who are seeking a private ADHD diagnosis. It can be difficult to get a prescription from a psychiatrist on the NHS. NHS waiting lists can be notoriously long and GPs may be 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). This means that you can select an organization that offers an assessment and titration service. This can help you save time and be more convenient, particularly if you have a busy schedule. If you are referred through this route the doctor you choose will assess you and decide whether or not you're required to be monitored for a dose of medication. You will be asked to fill out forms that differ by doctor but the main ones are self-report questionnaires as well as medical histories from childhood and adulthood. These forms will assist your doctor to determine if there are any reasons that suggest you shouldn't be taking ADHD medications, if they have been prescribed. If you are being titrated, the medication will be a combination stimulants and non-stimulant drugs. They will be carefully tested and monitored to determine the best combination for you, taking into account any existing conditions you have. The titration process can be lengthy and may require some additional appointments before you're able to stay on your dose. Depending on the type of medication you're taking, follow-up appointments could be scheduled monthly or quarterly. This will involve your clinician making sure that you are taking the correct medication, noting any adverse effects you've experienced and making any adjustments needed to ensure you are in a safe dosage. You will also be required to attend a routine health check, which could include blood pressure readings, pulse and weight as well as an annual review. Some patients may be content with their medication and do not need to discuss their titration in more detail. If you're required to discuss your titration plan or treatment plan further, it is possible that you'll be sent back to the private doctor who performed your initial assessment. If this occurs, the titration consultation will be part of their consultation fees and they will receive their medication on an individual prescription (see Consultation fees above). This can cost more than prescriptions from the NHS since the pharmacy will charge for the medication.