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Private ADHD Titration There is currently a national shortage of medications to treat ADHD symptoms. This is due both to manufacturing problems and an increased demand in the world. Our service can provide private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees cover the cost of one prescription. Titration A thorough evaluation of your ADHD symptoms will be conducted by a highly experienced consultant psychiatrist. This includes a medical history and an assessment using the standard ADHD rating scales and questionnaires. After your examination, you will be informed that medication may be beneficial in your case. This will be discussed during your follow-up appointment (which may be scheduled in person, by video link or by phone). Your physician will go over the different options for medication available. If you decide to begin medication, we will offer you the option of titrating your dose to optimize the benefits/side-effects balance for you. This process may take several weeks and requires gradually altering your child's medication until the proper balance has been achieved. It is not unusual to have to titrate three or four medications before finding the one that is best for your child's ADHD symptoms. Parents must be involved in this titration process and keep an eye on their child's behaviour, so that they can let the doctor know if the medicine is helping or causing side effects. Unless you have decided to return to NHS care, your medication will be issued with an individual prescription that you'll have to pay for at the pharmacy (this is not included in your consultation fees). You must attend regular appointments every six months to monitor your medication – this includes blood pressure and pulse readings. Annual reviews are also required. Follow-up appointments Once the assessment has been completed, you will be able to book appointment with the psychiatrist as appropriate. The appointment will usually be conducted through a zoom video call. In some cases, it may be possible to have an audio-only consultation to be conducted (again at an additional cost). We will then discuss treatment options and choose an individualised, bespoke ADHD medication adjustment. This will include an assessment of your medication dosage as well as a discussion around any negative side effects you may be experiencing. These titrations cost PS150 for face-toface sessions and PS60 via telephone or video consultation. The pharmacy will charge you for any cost of medication. The psychiatrist will ask questions about your family history and the impact of your ADHD symptoms on your daily life and any mental health issues that 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 higher chance of developing this condition. During the assessment, it is crucial that you are honest and open with the doctor who will be using the information you provide to determine whether you have the diagnostic criteria for ADHD. This is a crucial step, since an incorrect diagnosis could result in an inappropriate prescription of medication. If you have decided that you would 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 in the wake of your diagnosis if are eager to begin treatment immediately or within two weeks if would like more time to think about the implications of your diagnosis and the alternatives that are available to you. If you are unsure of what you would prefer it is recommended that you talk to your GP prior to booking your private appointment as certain providers have different policies about whether they require an GP referral letter or not. We also advise that you check whether your GP accepts a “Shared-Care Agreement which means that once discharged from the clinic, you will be returned to them for the medication prescription. Medication The medication process is an essential aspect of the treatment process for many people seeking a private ADHD diagnosis. Finding prescriptions from an NHS psychiatrist can be difficult and long-winded. NHS waiting lists are notoriously long and GPs may be reluctant to refer patients on 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 choose a service that offers an assessment on your own and the titration. This can help you save time and be more convenient, particularly if you have a busy work schedule. Once you've been referred, your clinician will examine you to determine if you need medication titration. You'll have to complete forms that differ by provider but the most frequent ones are self-reporting questions and medical histories that go back to childhood and adulthood. These forms will allow your doctor to determine if there are any reasons that suggest you shouldn't be taking ADHD medications, if they have been prescribed. If you are titrated on medication, it will typically consist of stimulants and non-stimulant drugs. They will be carefully tested and monitored to determine the best combination for you, taking into account any medical conditions you may have. The titration process may be long and could require a few extra appointments before you are stable on your dose. Depending on ADHD titration waiting list of medication you're taking, follow up appointments will be either monthly or quarterly. Your clinician will check whether you are stable on the medication, document any side effects that you have experienced and make any needed adjustments to ensure that you remain on a dose that is safe. You will be required to go to an annual review as well as a routine health exam that includes pulse, blood pressure, and weight measurements. Some patients may be content with their medication and don't require discussing their titration in more detail. However, for those who require further discussions regarding their titration and treatment plan it's possible that they will be referred back to the same private clinic that made their initial assessment. If this happens, the titration appointment will be included in their consultation fee, and they will receive their medication through an individual prescription (see Consultation fees above). It could cost more than an NHS prescription since the pharmacy will charge for the medication.