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Private ADHD Titration There is currently a nationwide shortage of medications to treat ADHD symptoms. This is due to manufacturing problems and the growing demand for ADHD medications worldwide. Our service offers private ADHD adjustment instead of waiting for NHS funding through Right to Choose. Our fees for assessments include the cost of one prescription. Titration A comprehensive assessment of your ADHD symptoms will be conducted with a highly experienced consultant Psychiatrist. This includes a thorough medical history, and an assessment using the typical ADHD questionnaires and rating scales. Following your assessment you will be informed that medication may be beneficial in your particular situation. The discussion will take place at your follow-up appointment (which may be scheduled in person, by video link or by phone). Your doctor will go over the various options for medications 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 process could take several weeks, and involves gradually adjusting your child's dosage until the right balance is achieved. It is not uncommon to have to titrate up to three different medicines before you can find the one that best fits your child's ADHD. It is crucial that parents are involved in the titration and keep an eye out for their child's behavior so that they can inform doctors if the medication is helping or causing adverse effects. If you decide to go back to NHS treatment, you will receive an individual prescription for your medication. You will have to pay the pharmacy. This is not included in the consultation fee. You must attend six-monthly appointments to monitor your medication. This includes the measurement of pulse and blood pressure. Annual reviews are also required. Follow-up appointments After the assessment is completed you will be able to make appointment with your psychiatrist, if necessary. Typically, ADHD titration will take place on zoom video call but in certain circumstances it is possible to have an audio only consultation (again at an additional cost). We will then go over the options for treatment and then decide on the most appropriate, customized ADHD medication titration. This will include a discussion and review of your medication dose, as well as any side effects you might be experiencing. The titration sessions cost PS150 for face-toface sessions and PS60 via telephone or video consultation. The pharmacy will be charged for any medication costs. The doctor will also ask you about your family history and the impact your ADHD symptoms have on your life, including any issues with relationships you may be having or other mental health issues you may be suffering from. ADHD can be a genetic condition, so it's important to look into your family's background to determine if you're at a greater risk of developing this disorder. It is essential that you are honest and truthful with the clinician during this assessment, as the information they gather will be used to determine if your ADHD meets the diagnostic criteria. This is a vital part of the process, because if you don't do it, it could result in an incorrect diagnosis, and thus an incorrect prescribing of medication. If you've decided you would like to receive treatment for your ADHD, we will then set up a follow-up appointment with one of our psychiatrists that specialize in this field. If you'd like to start treatment immediately, you can do this immediately following the diagnosis. You can also wait for two weeks before considering the implications of the diagnosis and the options available to you. We suggest that if you are unsure of your preferences, you speak with your GP prior to booking your private assessment. Certain providers have different policies on whether they require a GP letter. Find out if your GP accepts a Shared Care Agreement, which means you will be referred to them after you leave the clinic for prescriptions for medication. Medication Medication is a key element of the process for many who are looking for a private ADHD diagnosis. Finding prescriptions from an NHS psychiatrist can be a challenge and time-consuming. NHS waiting lists are notoriously long and GPs are often reluctant to refer patients to specialist services. One way to get around this is to ask your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). This means that you can select an organization that offers a private assessment and titration service. This can reduce your wait time by a significant amount and is more convenient if you're working and have a full schedule. Once you've been referred, your clinician will assess you to determine if need 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 that go to childhood and adulthood. They will help your physician identify any conditions that could suggest you should not take ADHD medication if prescribed. If you are being titrated the medication will consist of a mixture of stimulants and non-stimulant drugs. These will be carefully trialled and monitored to find the most effective combination for you, taking into consideration any current conditions you suffer from. The process of titration can be long and could require a few extra appointments before you are stable on your dose. The frequency of your follow-up appointments is contingent on the type and quantity of medication that you are taking. They can be scheduled for monthly or quarterly. Your clinician will check whether you are stable on the medication, note any side effects that you've experienced, and make any necessary adjustments to ensure you remain on a safe dose. You'll also be required to undergo a regular health check which can include blood pressure, pulse and weight readings and an annual review. For some individuals it could be because they are satisfied with their medication and don't need any further discussion on their titration. If, however, they do need further discussions about the titration process and treatment plan, it is possible that they will be passed back to the private clinic that conducted their initial assessment. If this occurs, the titration consultation will be part of their consultation fee and they will be given their medication via a private prescription (see Consultation fees above). This may cost more than a prescription from the NHS since the pharmacy will charge for the medication.