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There is currently a nationwide shortage of medication to treat ADHD symptoms. This is due to manufacturing issues and a growing global demand.

Our service is able to provide private ADHD treatment 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 highly experienced consultant psychiatrist will conduct a thorough assessment of your ADHD. This includes a complete medical history, and an evaluation using the typical ADHD questionnaires and rating scales.

Following your assessment you will be advised if medication is considered to be beneficial in your case. This will take place at your follow-up appointment (which can be scheduled in person by video link, in person or via phone). Your clinician will discuss the different options for medication available. If you decide to start taking medication, we will offer you the option of titrating your dose to ensure the best balance of benefits and side effects for you.

This process can take a few weeks and requires gradually altering your child's dosage until the appropriate balance has been achieved. It's not uncommon to have to adjust up to three different medicines before you can find the one that best suits your child's ADHD. It is essential that parents are involved in the titration and be on the lookout for their child's behavior, so they can inform doctors whether the medication is helping or causing adverse effects.

If you decide to return to NHS treatment, your medication will be given as an individual prescription that you'll have to pay for at the pharmacy (this is not included in the consultation fee). You will be required to attend every six months to check your medication, which includes blood pressure and pulse readings. Annual exams are also required.

Follow-up appointments

Once the assessment has been completed, you'll be able to make follow up appointments with the psychiatrist, as necessary. Typically, the appointment will take place on zoom video call, although in certain cases it might be possible to schedule an audio only consultation (again at an extra cost).

We will then discuss the options for treatment and then decide on an individualised, bespoke ADHD medication titration. This will include an assessment of your medication dosage and a discussion around any adverse effects you may be experiencing. These titration sessions cost PS150 for face-to-face sessions, and PS60 by video or phone consultation. The pharmacy will charge you for any medication costs.

The psychiatrist will ask questions regarding your family history and the effects of your ADHD symptoms on your life, and any relationship problems or mental health issues you might be suffering from. ADHD can be a genetic condition, which is why it's crucial to examine your family background to determine if you are at a greater risk of developing this disorder.

During this examination, it is crucial that you are truthful and honest with the clinician in the sense that they will be using the information you provide to determine whether you have the diagnostic criteria for ADHD. This is an essential part of the process, as failing to do so could result in an incorrect diagnosis and consequently an inappropriate prescription of medication.

If you've decided that you'd like to receive treatment for your ADHD, we will then schedule a follow-up appointment with one of our psychiatrists that specialize in this field. This can be scheduled in the wake of your diagnosis if you are eager to begin treatment immediately or within two weeks if want to consider the implications of your diagnosis and the possibilities that are available to you.

If you're not sure which one you prefer it is recommended that you speak to your GP prior to scheduling your private adhd medication titration examination as some providers have different rules regarding whether they require an GP referral letter or not. We also recommend to check if your GP accepts a 'Shared Care Agreement which means that after you have been discharged from the clinic, you will be referred back to them for the prescription for the medication.

Medication

For many people who want a private diagnosis of ADHD treatment is an important aspect of their journey. Getting an appointment with an NHS psychiatrist can be difficult and lengthy. NHS waiting lists can be extremely long and GPs may be reluctant to refer patients to specialist services.

One method to avoid this is to request your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). You can pick a provider that offers an assessment on your own and the titration adhd adults. This can help you to save time and also be more convenient, especially if you have a busy schedule.

After you have been referred, your clinician will assess your condition to determine if you require medication adjustment. You will be asked to fill out forms that vary by provider but the most important ones are self-report questionnaires and medical histories from childhood to adulthood. These forms will assist your doctor to determine if there are factors that could mean that you shouldn't be taking ADHD medication, even when they've been prescribed.

If you are on a titration medication, this will usually include a mix of stimulants and non-stimulant medications. They will be carefully tested and monitored to determine the best combination for you, taking into consideration any medical conditions you may have. The process of titration can be lengthy and may require some additional appointments before you're able to stay on your dosage.

Depending on the type of medication you are taking, follow up appointments will be either monthly or quarterly. Your doctor will ensure whether you are stable on the medication, note any adverse reactions you have experienced and make any necessary adjustments to ensure that you remain on a safe dosage. You will be required to go to an annual health check-up and routine health examination which includes blood pressure, pulse, and weight measurements.

For some people it could be because they are content with their medication and don't require an additional discussion regarding their titration. If you need to discuss your titration plan or treatment plan more thoroughly, it what is titration in adhd possible that you'll be referred back to the private clinic that performed your initial evaluation. In this scenario the titration will be included in the consultation fee. The medication will be administered via the private prescription. This could cost more than prescriptions from the NHS because the pharmacy will charge for the medication.