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Private ADHD Titration There is currently a nationwide shortage of medication that helps to treat ADHD symptoms. This is due to manufacturing issues and a growing global demand. Our service is able to offer private ADHD testing as an alternative to waiting for NHS funding through Right to Choose. titration adhd meds cover the cost of one prescription. Titration A comprehensive assessment of your ADHD symptoms will be carried out by a highly experienced consultant psychiatrist. This will include medical history and an assessment using the standard ADHD rating scales and questionnaires. After your evaluation, you will be informed if medication is considered to be beneficial in your particular situation. This will be discussed at 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 start medication, we will help you the opportunity to increase your dosage to ensure the best balance of benefits and side effects for you. This process may take a few weeks and requires gradually altering your child’s medication until the right balance is achieved. It is not uncommon to to adjust up to three different medications before you can find the one that is most suitable for your child's ADHD. It is essential that parents take part in the titration process and keep an eye out for their child's behavior so they can inform the doctor whether the medication is helping or causing adverse reactions. If you decide to go back to NHS treatment you will be issued an individual prescription for your medication. You will have to pay for your prescription at the pharmacy. This is not included in the consultation cost. You will need to keep up with your appointments every six months to monitor your medications. This includes the measurement of pulse and blood pressure. 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 typically conducted through a zoom video call. However, in some circumstances, it might be possible to have an audio-only appointment to be conducted (again with an additional cost). We will then go over treatment options and choose a bespoke, individualised ADHD medication titration. This will include an assessment of your medication dosage as well as an examination of any adverse effects you may be experiencing. The cost of these titration sessions is PS150 for face to face sessions and PS60 for online or telephone video consultations. The pharmacy will be charged for any cost of medication. The psychiatrist will ask questions about your family history and the impact of your ADHD symptoms on your daily life and any relationship problems or mental health issues that you may be experiencing. ADHD is a genetic condition, so it's important to assess your family history in order to determine if you are at chance of developing this disorder. It is crucial that you are honest and truthful to the doctor during this assessment, as the information they gather will be used to determine if your ADHD fits the diagnostic criteria. This is an essential step in the process because if you don't do it, it could result in an inaccurate diagnosis, and thus an incorrect prescribing of medication. If you've decided you would like to receive treatment for your ADHD, we will then 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 you want to start treatment immediately, or within two weeks if would like more time to think about the implications of your diagnosis and the possibilities available to you. If you're not sure what your preference is We suggest you speak to your GP before booking your private appointment as certain providers have different policies about whether they require the submission of a GP referral letter or not. Find out if your GP accepts a Shared Care Agreement, which means that you will be referred to them when you leave the clinic to get a prescription medication. Medication For many who wish to obtain an official diagnosis of ADHD, medication is a crucial aspect of their journey. It isn't easy to obtain a prescription from a psychiatrist on the NHS. NHS waiting lists can be extremely 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). You can pick a provider that offers a private assessment service and titration. This can help you reduce time and be more convenient, particularly when you are on a tight work schedule. After you've been identified as a candidate for this treatment, your chosen clinician will assess you and decide whether or not you require to be monitored for a dose of medication. You will be asked to fill out forms that are different for each provider, but the most common ones are self-report questionnaires as well as medical histories from childhood and adulthood. These forms will assist your doctor determine any issues that could indicate that you shouldn't be taking ADHD medications if they are prescribed. If you are on a titration medication, it is likely to be a combination of non-stimulant and stimulant medications. These will be carefully tested and monitored to find the best combination for you. The titration process may be lengthy and may need a few extra appointments before you're able to stay on your dosage. 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. Your clinician will check whether you are safe with the medication, document any adverse reactions you've experienced and make any needed adjustments to ensure that you remain on a safe dosage. You'll also be required to attend a routine health check which can include blood pressure and pulse readings, as well as weight and weight measurements as well as an annual check-up. Some patients may be content with their medication and don't have to discuss their titration process further. If you need to discuss your titration or treatment plan in more detail it is likely that you'll be referred to the private clinic who performed your initial assessment. In this instance the titration is included in the consultation fee. The medication will be administered via the private prescription. It could cost more than an NHS prescription since the pharmacy will charge for the medication.