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Private ADHD Titration There is a nationwide shortage of medications to treat ADHD symptoms. This is due to manufacturing issues and the growing demand for ADHD medications worldwide. Our service offers private ADHD treatment instead of waiting for NHS funding via Right to Choose. Our assessments are free and include the cost of one prescription. Titration A highly experienced psychiatrist consultant will conduct a thorough evaluation of your ADHD. This includes a complete medical history and an assessment using the common ADHD questionnaires and rating scales. After your examination, you will be advised that medication may be beneficial in your particular situation. This will be discussed at your follow-up appointment (which can be scheduled in person by video link, in person or via phone). Your clinician will explain the different options available for you to take medication and if you decide to start on medication we will recommend titrating the 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 gradually until the appropriate balance is achieved. It is not unusual to have to titrate three or four medications before finding the best one for your child's ADHD symptoms. It is crucial that parents participate in the titration process and keep an eye out for their child's behavior, so they can inform doctors if the medication is helping or causing adverse effects. If you decide to return to NHS treatment you will receive a private prescription for your medication. You will have to pay the pharmacy. This is not included in the consultation cost. You will need to attend six-monthly appointments to check your medication. This includes pulse and blood pressure measurements. Annual reviews are also mandatory. Follow-up appointments After the assessment is complete, you can schedule appointment with the psychiatrist. The appointment usually takes place via a zoom video call, although in certain cases it is possible to have an audio-only consultation (again at an additional cost). We will then discuss treatment options and decide on a bespoke, individualised ADHD medication adjustment. This will include a discussion and review of your medication dose and any side effects that 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 cost of medication. The psychiatrist will ask you questions about your family history and the impact of your ADHD symptoms on your daily life and any mental health issues that you may be experiencing. This is due to the fact that ADHD can be an inheritable condition, and it is crucial to examine any family history that may indicate whether you are at risk of developing the disorder. During this assessment it is crucial that you are truthful and honest with the clinician, as they will be using the information you provide to determine if you meet the diagnostic criteria for ADHD. This is a vital part of the process, as failing to do so could lead to an inaccurate diagnosis, and thus an incorrect prescribing of medication. If you've decided you'd like to receive treatment for your ADHD, we will then arrange a follow up appointment with one of our psychiatrists that specialize in this area. If you'd like to start treatment right away, you can do this when you are diagnosed. You can also take two weeks to consider the implications of the diagnosis and your options. We recommend that if you are unsure about your preferences, talk with your GP prior to scheduling your private appointment. Some providers have different guidelines regarding whether they require an GP letter. Find out if your GP accepts the Shared Care Agreement, which means you will be referred to them after you leave the clinic to get a prescription medication. Medication Medication is an integral element of the process for many people looking for a private ADHD diagnosis. The process of getting an appointment with an NHS psychiatrist can be a challenge and lengthy. NHS waiting lists can be notoriously long, and GPs might be reluctant to refer their patients to specialist services. Inquiring your GP to refer you to Right to Choose is one way to avoid this (see psychiatry UK and ADHD 360). You can choose a service that provides an assessment on your own and the titration. This can help you save time and be more convenient, particularly when you are on a tight schedule. If you are referred, your clinician will assess you to determine if you require medication adjustment. You will be asked to fill in forms that vary by provider but the most important ones are self-report questionnaires as well as medical histories from childhood and adulthood. These forms will assist your doctor identify any factors that might indicate that you shouldn't be taking ADHD medication if prescribed. If you are on a titration medication, this will usually include a mix of stimulants and non-stimulant drugs. These will be thoroughly tested and monitored to find the right combination for you. The process of titration can be lengthy and may need several additional appointments before you are stable on your dose. 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. Your clinician will check whether you are safe with the medication, record any side effects you've experienced, and make any necessary adjustments to ensure you remain on a safe dosage. You'll also be required to undergo a regular health check which can include blood pressure, pulse and weight readings as well as an annual review. For some individuals it could be that they are happy with their medication and don't require an additional discussion regarding their titration. If you're required to discuss your titration or treatment plan further, it is possible that you'll be referred to the private clinic who performed your initial assessment. If titration service occurs, the titration consultation will be included in the consultation fees and they will receive their medication on a private prescription (see Consultation fees above). This could cost more than a prescription from the NHS since the pharmacy will charge for the medication.