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There is a current national shortage of medications to treat ADHD symptoms. This is due to manufacturing issues and the growing demand for ADHD medications worldwide.

Our service is able to provide private ADHD titration as an alternative to waiting for NHS funding through Right to Choose. Our assessments are free and include the cost of one prescription.

Titration

A thorough assessment of your ADHD symptoms will be conducted with an experienced consultant Psychiatrist. This includes a complete medical history, as well as an evaluation using the typical ADHD questionnaires and rating scales.

After your evaluation, you will be informed that medication may be beneficial for your specific situation. This will happen at your follow-up appointment (which can be done in person via video link or by phone). Your clinician will explain the different options available for you to take medication and if you decide to begin taking medication, we will suggest titrating the dose to maximize the benefits/side effects balance for you.

This process can take several weeks and it involves gradually altering your child’s medication until the appropriate balance has been achieved. It's not uncommon to need to adjust several times before finding the one that is best 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, so that they can inform the doctor if the medicine is helping or causing side effects.

If you decide to return to NHS treatment you will be issued an individual prescription for your medication. You will have to pay the pharmacy. This is not included in the consultation cost. You'll be required to attend six monthly appointments to monitor your medication. This includes pulse and blood pressure readings. Annual checks are also required.

Follow-up appointments

Once the evaluation has been completed, you will be able to schedule appointment with the psychiatrist as necessary. The appointment is usually done through a zoom video call. In some circumstances, it might be possible for an audio-only consultation to be scheduled (again at an additional cost).

In this session, we'll discuss treatment options and decide on a custom-made ADHD medication titration strategy. This will include an assessment of your medication dosage and an examination of any side effects you might be experiencing. The cost of these titration consultations is PS150 for face-to-face sessions and PS60 for online or telephone video consultations. The pharmacy will be charged for any medication costs.

The psychiatrist will also ask you about your family history and the impact that your ADHD symptoms impact your life, as well as any relationship issues you might be having or other mental health problems that you may be suffering from. ADHD can be a genetic condition, which is why it's crucial to assess your family history in order to determine if you're at a greater chance of developing this condition.

It is crucial that you are honest and open with your doctor during this evaluation, as the information they receive will be used to determine if your ADHD meets the diagnostic criteria. This is an important step, since a wrong diagnosis could lead to inappropriate medication prescription.

If you decide to be treated for ADHD, we'll arrange a follow-up appointment with a psychiatrist who is specialized in this field. This can be scheduled at the time of your diagnosis if you are keen to begin treatment immediately, or within two weeks if you prefer to take time to consider the implications of your diagnosis and the options that are available to you.

We suggest that if are unsure about your preferences, talk with your GP prior to scheduling your private assessment. Some providers have different guidelines regarding whether they require an GP letter. 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 medication prescription.

Medication

The medication process is an essential element of the process for many people seeking a private ADHD diagnosis. It isn't easy to obtain a prescription from a psychiatrist on the NHS. NHS waiting lists can be notoriously long and GPs may be reluctant to refer their patients to specialist services.

Asking your GP to refer through Right to Choose is one way to avoid this (see psychiatry - UK and Private Adhd Titration ADHD 360). This means you can select an organization that offers an assessment and titration. This can cut down on wait time significantly and is more convenient if you are working and have a full schedule.

Once you've been recommended, your physician will evaluate you to determine if require medication adjustment. You'll need to fill out forms that vary by doctor, but the most common ones are self-reporting questions and medical histories that go back to childhood and adulthood. They will help your physician determine any issues that could mean you shouldn't take ADHD medication if prescribed.

If you are titrated on medication, this will usually consist of stimulants and non-stimulant medications. They will be carefully tested and monitored to find the most suitable combination for you, taking into consideration any existing conditions you have. The titration procedure can be lengthy and may require a number of additional appointments before your dose is stable.

The frequency of your follow-up appointments will depend on the type and amount of medication you're taking. They could be scheduled monthly or private Adhd titration quarterly. Your clinician will check that you are stable with the medication, note any side effects you've experienced, and make any necessary adjustments to ensure that you remain on a safe dosage. You'll also be required to attend a routine health check, which could include blood pressure readings, pulse and weight and an annual check-up.

For some it could be because they are content with their medication and don't need a further discussion about their titration. For those who require further discussions regarding their titration and treatment plan it is possible that they will be referred back to the same private clinic that made their initial assessment. In this instance the titration is included in the consultation cost. The medication will be administered via a private prescription. This could cost more than an NHS prescription because the pharmacy will charge for the medication.