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There is currently a nationwide shortage of medications to treat ADHD symptoms. This is due to manufacturing problems as well as an increase in demand worldwide.

Our service is able to offer private ADHD titration as an alternative to 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 thorough evaluation of your ADHD. This includes medical history and an assessment using the standard ADHD rating scales and questionnaires.

After your evaluation You will be advised if medication would be beneficial for your particular situation. This will take place at your follow up appointment (which can be scheduled in person by video link, in person or by phone). Your clinician will explain the various options for 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 process could take a few weeks and requires gradually altering your child's medication until the appropriate balance is achieved. It's not uncommon to have to titrate as high as three different medications before you find the one that best fits your child's ADHD. Parents must be involved 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 working or causing side effects.

If you do not decide to return to NHS care the medication you take will be provided with a private prescription which you will need to pay for private at the pharmacy (this is not included in your consultation fees). You will be required to attend regular appointments every six months to monitor your medication - this includes pulse and blood pressure readings. Annual exams are also required.

Follow-up appointments

After the assessment is complete and you are satisfied, you can schedule follow-up appointments with your psychiatrist. The appointment will usually be conducted by video conference using zoom. However, in certain instances, it could be possible for an audio-only appointment to be scheduled (again at an additional cost).

In this session, we'll discuss any treatment options we have and agree upon a bespoke individualised ADHD medication titration program. This will include a review of your medication dose and a discussion around any side effects you might be experiencing. The cost for these titration sessions is PS150 for face-to face sessions and PS60 for telephone or online video consultations. Costs for medication are extra and are paid directly to the pharmacy.

The doctor will also ask you about your family background and the impact your ADHD symptoms can have on your life, as well as any relationship issues you might be facing or any other mental health problems that you might be experiencing. ADHD can be a hereditary condition, which is why it's crucial to look into your family's history to determine if you are at risk of developing this disorder.

It is essential that you are honest and open with your doctor during the assessment, since the information they get will be used to determine whether your ADHD is in line with the diagnostic criteria. This is a crucial part of the process, as failing to do so could lead to an inaccurate diagnosis, and thus an incorrect prescribing of medication.

If you have decided that you'd like to receive treatment for your ADHD We will set up a follow-up appointment with one of our psychiatrists who specialise in this area. This can be done within the first few days of your diagnosis if want to start treatment immediately or within two weeks if you want to consider the implications of your diagnosis and the alternatives available to you.

If you're not sure what you would prefer it is recommended that you talk with your GP before booking your private assessment as some providers have different policies about whether they require 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 once you leave the clinic to get a medication prescription.

Medication

For many who wish to obtain a private diagnosis of ADHD medication is an important element of their treatment. It isn't easy to obtain a prescription from a psychiatrist on the NHS. NHS waiting lists can be extremely long, and GPs might be reluctant to refer their patients to specialist services.

One method to circumvent 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 a provider that offers a private assessment and titration. This can help you to save time and also be more convenient, particularly if you have a busy work schedule.

After you have been referred, your clinician will evaluate you to determine if you require medication titration. You will need to fill out forms that vary by doctor however the most commonly used ones are self-reporting forms and medical histories going back to childhood and adulthood. These forms will help your clinician determine if there are any factors that could mean that you shouldn't be taking ADHD medications, if they have been prescribed.

If you are titrated, the medication will consist of stimulants and nonstimulant medications. They will be carefully tested and monitored to find the most effective combination for you, taking into account any current conditions you suffer from. The titration process can be lengthy and may require multiple appointments before the dose becomes stable.

Depending on the type of medication you are taking, follow up appointments will be either monthly or quarterly. Your physician will make sure whether you are stable on the medication, document any side effects you've experienced and make any needed adjustments to ensure that you remain on a safe dose. 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 review.

Some people may be satisfied with their medication and don't need to discuss their titration further. However, for those who require further discussion about their titration and treatment plan it's possible to be passed back to the same private clinic that conducted their initial assessment. If this happens, the titration appointment will be part of their consultation fees and they will receive their medication on a private prescription (see Consultation fees above). This could cost more than prescriptions from the NHS since the pharmacy will charge you for the medication.