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There is currently a nationwide shortage of medication that helps to treat ADHD symptoms. This is due to manufacturing problems and the growing demand for ADHD medications worldwide.

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

Titration

A highly experienced psychiatrist consultant will conduct a thorough assessment of your ADHD. This includes an examination of your medical history as well as an assessment using the typical ADHD rating scales and questionnaires.

After your examination You will be advised whether medication is appropriate for your specific situation. This will be discussed at your follow up appointment (which could be in person via video link or by phone). Your physician will go over the different options for medication available. If you decide to start medication, we will help you to titrate your dose to optimize the benefits/side-effects balance for you.

This is a process which may take several weeks. It involves adjusting the dosage of your child's medication gradually until the appropriate balance is reached. It's not uncommon to need to titrate two or three medicines before determining the most effective one for your child's ADHD symptoms. It is essential for parents to take part in this process of titration and keep a close eye on their child's behaviour, so that they can let the doctor know whether the medication is helping or causing adverse effects.

If you decide to return to NHS treatment you will be issued an individual prescription for your medication. You will be required to pay the pharmacy. This is not included in the consultation cost. You'll need to keep up with your appointments every six months to monitor your medications. This includes pulse and blood pressure measurements. Annual exams are also required.

Follow-up appointments

Once the evaluation has been completed, you'll be able to schedule appointment with the psychiatrist as necessary. The appointment is usually done by video conference using zoom. However, in certain circumstances, it might be possible to have an audio-only appointment to be conducted (again at an additional cost).

At this point we will discuss treatment options and agree upon a bespoke individualised ADHD medication titration program. This will include a review and discussion of your medication dose, as well as any side effects you might be experiencing. These titration sessions cost PS150 for face-to-face sessions and PS60 by video or phone consultation. 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 impact your life, including any issues with relationships you may be experiencing or other mental health issues you may be experiencing. This is because ADHD is an inheritable condition, and it is crucial to examine any family history that might suggest that you are at risk of developing the disorder.

It is essential to be honest and transparent with the clinician during this evaluation, as the information they receive will be used to determine if your ADHD meets the diagnostic criteria. This is an important step, as the wrong diagnosis can result in a prescription for medication that is not appropriate.

If you've decided that you'd like to be treated for your ADHD We will schedule a follow-up appointment with one of our psychiatrists who specialize in this field. This can be done in the wake of your diagnosis if are keen to begin treatment right away, or within two weeks if would like more time to think about the implications of your diagnosis and the alternatives available to you.

If you are unsure of what your preference is, we suggest that you speak to your GP before booking your private examination as some providers have different rules regarding whether they require an GP referral letter or not. We also suggest to check if your GP accepts a "Shared Care Agreement', which means that after you have been discharged from the clinic you will be returned to them for the prescription for medication.

Medication

For many people who want an individual diagnosis of ADHD, medication is a key element of their treatment. Getting prescriptions from an NHS psychiatrist can be a challenge and long-winded. NHS waiting lists are notoriously long, and GPs may be reluctant to refer patients on to specialist services.

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

After you have been referred, your clinician will assess you to determine if you need medication adjustment. You will need to fill out forms that are different for each provider, but the most common ones are self-reporting questions and medical histories that go to childhood and adulthood. They will help your physician determine any issues that could mean you shouldn't take ADHD medications if they're prescribed.

If you are being titrated, the medication will be a combination stimulants and nonstimulant medicines. These will be carefully trialled and monitored to determine the best combination for you, taking into consideration any existing conditions you have. The titration procedure can be long and may require multiple appointments before you are stable.

The frequency of your follow-up appointments will depend on the type and quantity of medication you are taking. They can be scheduled for monthly or quarterly. This will include your physician checking to see if you are stable on the medication, noting any adverse effects you've experienced, and making any adjustments needed to ensure you are on a dose that is safe. You'll also have to attend a regular health check that may include blood pressure, pulse and weight readings as well as an annual check-up.

For some people it could be that they are content with their medication and don't need a further discussion about their titration. However, for those who do need further discussions about the titration process and treatment plan, it's possible that they will be passed back to the same private clinic that made their initial assessment. If this occurs, the titration meaning adhd consultation will be part of their consultation fees and they will be given their medication through a private prescription (see Consultation fees above). This could cost more than a prescription from the NHS because the pharmacy will charge for the medication.