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There is currently a national shortage of medication to treat ADHD symptoms. This is due to manufacturing problems and increased global demand.

Our service can offer private adhd titration ADHD testing 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 comprehensive assessment of your ADHD. This includes a thorough medical history, as well as an assessment using the standard ADHD questionnaires and rating scales.

After your examination You will be advised that medication may be beneficial for your situation. The discussion will take place at your follow-up appointment (which could be in person, by video link or over the phone). Your doctor will go over the various options for medications available. If you decide to begin medication, we will offer you the option of titrating your dose to maximize the benefits/side effects balance for you.

This process could take a few weeks, and involves adjusting the dosage of your child's medication slowly until the right balance is achieved. It is not uncommon to have to adjust up to three different medicines before you can find the one that best suits your child's ADHD. It is important that parents are involved in the titration adhd medications process and be aware of their child's behavior, so they can let the doctors know whether the medication is helping or causing adverse reactions.

If you decide to return to NHS treatment you will receive an individual prescription for your medication. You will have to pay for your prescription at the pharmacy. This is not included in the consultation fee. You'll be required to attend six monthly appointments to monitor your medication, which includes blood pressure and pulse readings. Annual reviews are also required.

Follow-up appointments

After the assessment is completed, you'll be able to schedule follow-up appointments with the psychiatrist as necessary. The appointment usually takes place on zoom video call but in certain circumstances it might be possible to have 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 an assessment of your medication dosage and an examination of any side effects you might be experiencing. The cost for these titration consultations is PS150 for face-to face sessions and PS60 for telephone or online video consultations. The pharmacy will be charged for any medication costs.

The psychiatrist will ask questions regarding your family history as well as the impact of your ADHD symptoms on your life, and any relationship problems or mental health issues you might be experiencing. ADHD can be a hereditary condition, and it's vital to examine your family background to determine if you are at a higher chance of developing this condition.

During this examination, it is vital that you are honest and open with the doctor, as they will be using the information you provide to determine if you are able to meet the diagnostic criteria for ADHD. This is an important step because a wrong diagnosis could result in an inappropriate prescription of medication.

If you've decided that you'd like to be treated for your ADHD, we will then arrange a follow up appointment with one of our psychiatrists that specialize in this field. This can be scheduled at the time of your diagnosis if are eager to begin treatment immediately or within two weeks if you would like more time to think about the implications of your diagnosis and the possibilities that are available to you.

We recommend that if you are unsure about your preferences, you speak with your GP prior to scheduling your private examination. Certain providers have different policies on whether they require a GP letter. Check if your GP accepts a Shared Care Agreement, which means you will be referred to them after you leave the clinic to get a prescriptions for medication.

Medication

Medication is an integral element of the process for many who are looking for an official ADHD diagnosis. It isn't always easy to obtain an appointment with a psychiatrist on the NHS. NHS waiting lists are notoriously long and GPs can 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). This means you can select an organization that offers an assessment and titration. This can help you reduce time and be more convenient, particularly in the event of a hectic schedule.

Once you've been diagnosed, your doctor will assess you to determine if you need medication adjustment. You will be asked to fill out forms that differ by doctor but the main ones are self-report questionnaires and medical histories from childhood and adulthood. These will help your clinician identify any factors that might mean you shouldn't take ADHD medications if they are prescribed.

If you are being titrated the medication will be a combination stimulants and non-stimulant drugs. They will be carefully tested and monitored to determine the best combination for you, taking into consideration any existing conditions you have. The titration adhd can be a lengthy process and may require multiple appointments before the dose becomes stable.

Based on the type of medication you are taking, follow up appointments will be either monthly or quarterly. Your physician will make sure that you are stable with the medication, note any side effects you've experienced and make any necessary adjustments to ensure you remain on a safe dose. You will be required to attend an annual review and a routine health examination which includes pulse, blood pressure, and weight measurements.

For some people it could be because they are satisfied with their medication and don't require an additional discussion regarding their titration adhd medication. For those who require further discussion about their titration and treatment plan it's possible to be referred back to the private clinic that conducted their initial assessment. In this scenario the titration is included in the consultation fee. The medication will then be provided through the private prescription. This could cost more than an NHS prescription since the pharmacy will charge for the medication.