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Private ADHD Titration There is a nationwide shortage of medications to treat ADHD symptoms. This is due to manufacturing issues and increased global demand. Our service can provide private ADHD testing as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees include the cost of a single prescription. Titration A thorough assessment of your ADHD symptoms will be carried out by an experienced consultant Psychiatrist. This will include a medical history and an assessment using the standard ADHD rating scales and questionnaires. After your evaluation, you will be informed that medication may be beneficial for your situation. This will happen during your follow-up appointment (which could be in person, via video link or via phone). Your physician will go over the different options for medication available. If you decide to start medication, we will offer you to titrate your dose to ensure the best balance of benefits and side effects for you. This process may take several weeks, and it involves gradually altering your child's dosage until the appropriate balance is reached. It is not unusual to need to adjust three or four medications before determining the most effective one for your child's ADHD symptoms. It's important for parents to participate in this titration process, and keep an watchful eye on their child's behavior so that they can let the doctor know whether the medication is helping or causing side effects. If you do not decide 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 the consultation fee). You'll need to keep up with your appointments every six months to monitor your medications. This includes pulse and blood pressure measurements. Annual exams are also required. Follow-up appointments After the evaluation is completed after the assessment is completed, you can make appointment with the psychiatrist. The appointment usually takes place on zoom video call, although in certain cases it may be possible to schedule an audio-only consultation (again at an extra cost). We will then discuss treatment options and choose the most appropriate, customized ADHD medication titration. This will include a review of your medication dose and a discussion of any possible adverse effects you may be experiencing. The titration sessions cost PS150 for face-to-face sessions, and PS60 via telephone or video consultation. The pharmacy will charge you for any cost of medication. The doctor will also ask you about your family history and the impact that your ADHD symptoms can have on your life, as well as any issues with relationships you may be having or other mental health problems that you may be suffering from. ADHD can be a hereditary condition, and it's vital to assess your family background to determine if you're at chance of developing this disorder. During the assessment, it is crucial to be truthful and open with the doctor, as they will use the information you provide to determine if you meet the diagnostic criteria for ADHD. This is a crucial step in the process as failing to do so could result in an inaccurate diagnosis and therefore inappropriate prescribing of medication. If you have decided that you would like to receive treatment for your ADHD We will arrange a follow up appointment with one of our psychiatrists that specialize in this area. If you'd like to start treatment right away it is possible to start treatment at the time of diagnosis. You can also take for two weeks before considering the implications of the diagnosis and what options you have. If you're not sure what you would prefer We suggest you talk with your GP prior to booking your private examination as some providers have different policies regarding whether they require the submission of a GP referral letter or not. We also advise to confirm that your GP accepts a 'Shared Care Agreement which means that once you are discharged from the clinic you will be sent back to them to get the prescription for the medication. Medication Medication is an integral part of the journey for many who are looking for a private ADHD diagnosis. Getting prescriptions from an NHS psychiatrist can be a challenge and lengthy. steps for titration waiting lists are notoriously long and GPs may be reluctant to refer patients to specialist services. One way to get around this is to request your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). This means that you can choose an organization that offers an assessment and titration. This will help you save time and be more convenient, especially when you are on a tight schedule. If you are referred, your clinician will examine you to determine if require medication adjustment. You will be asked to fill in forms that are different for each provider, but the most common ones are self-report forms and medical histories from childhood and adulthood. These forms will allow your doctor to determine if there are any circumstances that indicate you shouldn't take ADHD medications, if they have been prescribed. If you are on a titration medication, it is likely to consist of stimulants and non-stimulant medications. These will be carefully tested and monitored to find the most suitable combination for you. The process of titration can be long and could require a few extra appointments before you are stable on your dose. Depending on the type of medication you are taking, follow up appointments can be scheduled either monthly or quarterly. The appointment will involve your doctor checking that you are stable on the medication, logging any side effects you have had and making any adjustments needed to ensure you are on a dose that is safe. You will also be required to attend a regular health check, which could include blood pressure readings, pulse and weight as well as an annual review. Some people might be satisfied with their treatment and do not need to discuss their titration in more detail. For those who do need further discussions about their titration and treatment plans, it's possible to be referred back to the same private clinic that conducted their initial assessment. If this occurs, the titration consultation will be part of their consultation fees and they will receive their medication on private prescription (see Consultation fees above). This can cost more than prescriptions from the NHS since the pharmacy will charge you for the medication.