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

Our service offers private ADHD titration instead of waiting for NHS funding via Right to Choose. Our fees for assessments include the cost of one prescription.

Titration

A thorough evaluation of your ADHD symptoms will be carried out by an experienced consultant Psychiatrist. This will include a medical history and an assessment using the typical adhd titration waiting list rating scales and questionnaires.

After your examination, you will be informed that medication may be beneficial for your situation. This will be discussed at your follow up appointment (which can be scheduled in person by video link, in person or by telephone). Your clinician will explain the various options for medication and, if you decide to start on medication we will offer to titrate the dose to optimise the balance of benefits and side effects for you.

This process could take a few weeks and it involves gradually altering your child's dosage until the proper balance has been achieved. It is not unusual to need to titrate several times before finding the best one for your child's ADHD symptoms. Parents must take part in this process of titration, and keep an 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 decide to return to NHS treatment the medication you take will be provided with an individual prescription that you will need to pay for at the pharmacy (this is not included in the consultation fee). You will be required to attend regular appointments every six months to monitor your medication. This includes blood pressure and pulse readings. Annual exams are also required.

Follow-up appointments

Once the assessment is completed after the assessment is completed, you can make follow-up appointments with your psychiatrist. The appointment usually takes place through a video call using zoom however in some instances it is possible to do an audio-only consultation (again at an additional cost).

In this session, we'll discuss any treatment options and come up with a unique ADHD medication titration strategy. This will include a discussion and review of your medication dose and any side effects that you may be experiencing. The cost of these titration period adhd consultations is PS150 for face to face sessions and PS60 for online or telephone video consultations. Costs for medication are extra and are paid directly to the pharmacy.

The psychiatrist will also ask you about your family history and the impact your ADHD symptoms have on your life, including any issues with your relationships that you may be facing or any other mental health problems that you might be experiencing. ADHD can be a hereditary condition, so it's important to assess your family history to determine if you're at a higher chance of developing this condition.

It is essential that you are honest and truthful with the clinician during the assessment, since the information they receive will be used to determine whether your ADHD meets the diagnostic criteria. This is a vital step in the process as failing to do so could lead to an inaccurate diagnosis and consequently an inappropriate prescription of medication.

If you decide to seek treatment for ADHD, we'll arrange an appointment to follow-up with a psychiatrist who is specialized in this field. If you'd like to begin treatment immediately it is possible to start treatment at the time of diagnosis. Or you can wait for two weeks before considering the implications of the diagnosis and what options you have.

If you are unsure of what your preference is We suggest you talk with your GP prior to scheduling your private examination as some providers have different rules regarding whether they require an GP referral letter or not. We also suggest that you check whether your GP accepts a "Shared Care Agreement that means that once you are discharged from the clinic, you will be referred back to them for the medication prescription.

Medication

Medication is a key element of the process for many people looking for a private ADHD diagnosis. Getting prescriptions from an NHS psychiatrist can be a challenge and time-consuming. NHS waiting lists can be extremely long and GPs may be reluctant to refer patients to specialist services.

Asking your GP to refer you to Right to Choose is one way to avoid this (see psychiatry - UK and ADHD 360). You can select a provider that provides an assessment on your own and titration. This can help you to save time and also be more convenient, particularly in the event of a hectic schedule.

After you have been recommended, your physician will evaluate you to determine if require medication titration. You will need to fill out forms that are different for each provider, but the most common ones are self-reporting forms and medical histories going back to childhood and adulthood. They will help your physician identify any conditions 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 drugs. These will be carefully assessed and monitored to determine the most suitable combination for you. The titration process may be lengthy and may require a few extra 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. This will include your physician checking that you are stable on the medication, logging any side effects you've experienced and making any necessary 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 and an annual check-up.

Some patients may be content with their treatment and do not have to discuss their titration further. If you need to discuss your titration plan or treatment plan further it is possible that you will be referred to the private clinic who made your initial assessment. In this instance the titration will be included in the consultation cost. The medication will then be given via a private prescription. It could cost more than an NHS prescription as the pharmacy will charge for the medication.