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Private ADHD Titration There is currently a national shortage of medication that helps to treat ADHD symptoms. This is due to manufacturing issues and increased global demand. Our service can offer private ADHD testing as an alternative to waiting for NHS funding through Right to Choose. Our fees for assessments include the cost of one prescription. Titration A highly experienced psychiatrist consultant will conduct a comprehensive assessment of your ADHD. This will include medical history and an assessment using the standard ADHD rating scales and questionnaires. After your examination, you will be advised that medication may be beneficial for your situation. This will be discussed at your follow-up appointment (which may be scheduled in person, by video link or by phone). Your doctor will explain what medication options are available and, if you decide to start on medication we will offer to titrate the dose to maximize the benefits/side effects balance for you. This process may take several weeks, and involves gradually adjusting your child’s medication until the appropriate balance is reached. It is not uncommon to have to adjust up to three different medications before you can find the one that best suits your child's ADHD. It is essential for parents to take part in this process of titration, and keep an eye on their child's behaviour to let the doctor know if the medicine is helping or causing adverse effects. Unless you have decided to return to NHS care the medication you take will be issued with a private prescription which you'll need to pay for at the pharmacy (this is not included in your consultation fee). You will be required to attend six monthly appointments to monitor your medication, which includes pulse and blood pressure readings. Annual exams are also required. Follow-up appointments After the assessment is completed you will be able to schedule follow-up appointments with your psychiatrist, if appropriate. Typically, the appointment will take place through a video call using zoom however in some instances it may be possible to schedule an audio only consultation (again at an additional cost). In this session, we'll discuss treatment options and agree upon a bespoke individualised ADHD medication titration program. This will include a discussion and review of your dosage of medication and any adverse effects you might be experiencing. The cost of these titration consultations is PS150 for face to face sessions and PS60 for online or phone video consultations. The pharmacy will charge you for any medication costs. The psychiatrist will ask questions about your family history as well as the impact of your ADHD symptoms on your life, and any mental health issues that you may be experiencing. This is due to the fact that ADHD is a genetic disorder and it is essential that we assess any family history that may indicate that you're at risk of developing the disorder. It is important that you are honest and truthful to the doctor during this evaluation, as the information they get will be used to determine whether your ADHD is in line with the diagnostic criteria. This is a vital step in the process, because if you don't do it, it could result in an incorrect 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 that is skilled in this area. If titration ADHD 'd like to begin treatment immediately you can start treatment at the time of diagnosis. You can also wait two weeks to consider the implications of the diagnosis and your options. If you aren't sure which one you prefer We suggest you talk to your GP before booking your private assessment as some providers have different policies about whether they require the submission of a GP referral letter or not. We also suggest that you check whether your GP accepts a “Shared Care Agreement that means that once discharged from the clinic you will be returned to them for the medication prescription. Medication Medication is a key element of the process for many people who are looking for a private ADHD diagnosis. It isn't always easy to obtain prescriptions from psychiatrists on the NHS. 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 ask your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). You can choose a service that provides an assessment that is private and the titration. This will help you save time and be more convenient, especially when you are on a tight schedule. Once you've been recommended, your physician will evaluate you to determine if you need medication titration. You will be asked to fill in forms that differ by doctor but the main ones are self-report questionnaires and medical histories from childhood and adulthood. These forms will allow your doctor to determine if there are reasons that suggest that you shouldn't be taking ADHD medication, even when they've been prescribed. If you are being titrated on medication, it is likely to consist of stimulants and non-stimulant medications. They will be examined and monitored to determine the right combination for you. The titration 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 quantity of medication you're taking. They can be monthly or quarterly. Your clinician will check that you are stable with the medication, record any side effects that you've experienced and make any necessary adjustments to ensure that you remain on a safe dosage. You'll also have to attend a routine health check that may include blood pressure and pulse readings, as well as weight and weight measurements and an annual review. For some it could be because they are content with their medication and don't need an additional discussion regarding their titration. If you're looking to discuss your titration or treatment plan further, it is possible that you'll be sent to the private clinic who performed your initial assessment. If this occurs, the titration consultation will be included in their consultation fee, and they will receive their medication on a private prescription (see Consultation fees above). This can cost more than a prescription from the NHS, as the pharmacy will charge for the medication.