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Private ADHD Titration There is a national shortage of medications that treat ADHD symptoms. This is due to manufacturing issues and an increase in demand worldwide. Our service is private ADHD adjustment instead of waiting for NHS funding through Right to Choose. Our assessment fees include the cost of one prescription. Titration A thorough assessment of your ADHD symptoms will be carried out by a highly experienced consultant psychiatrist. This will include a medical history and an assessment using the common ADHD rating scales and questionnaires. After your assessment After your assessment, you will be informed that medication may be beneficial for your situation. This will be discussed at your follow up appointment (which could be in person, via video link or by phone). Your clinician will explain what medication options are available and, if you decide to begin taking medication, we will recommend titrating the dose to optimise the balance of benefits and side effects for you. This process could take a few weeks. It involves adjusting the dosage of your child's medication slowly until the right balance is reached. It's not uncommon to need to adjust several times before finding the best one for your child's ADHD symptoms. Parents must be involved in this titration process and keep an eye on their child's behaviour to inform the doctor whether the medication is helping or causing side effects. If you decide to return to NHS treatment the medication you take will be issued with a prescription from a private pharmacy that you will need to pay for at the pharmacy (this is not included in your consultation fees). You will need to 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 Once the evaluation has been completed, you will be able to schedule follow-up appointments with your psychiatrist, if necessary. Typically, the appointment will take place via a zoom video call but in certain circumstances it is possible to do an audio only consultation (again at an extra cost). In this session, we'll discuss any treatment options we have and come up with a unique ADHD medication titration program. This will include a discussion and review of your dosage of medication and any adverse effects you might be experiencing. The cost for these titration consultations is PS150 for face to face sessions and PS60 for online or phone video consultations. The cost of medication is additional and are paid directly to the pharmacy. The psychiatrist will also ask you about your family background and the impact your ADHD symptoms impact your life, as well as any issues with relationships you may be facing or any other mental health issues you may be suffering from. ADHD is a genetic condition, which is why it's crucial to assess your family history in order to determine if you are at chance of developing this disorder. It is important to be honest and open with your doctor during this assessment, as the information they get will be used to determine whether your ADHD fits the diagnostic criteria. This is an important step because a wrong diagnosis could lead to inappropriate medication prescription. If you've decided you'd like to receive treatment for your ADHD We will schedule a follow-up appointment with one of our psychiatrists who specialize in this field. This can be done within the first few days of your diagnosis if you want to start treatment immediately or within two weeks if you want to think about the implications of your diagnosis and the options that are available to you. If you are unsure of what your preference is, we suggest that you talk with your GP prior to booking your private examination as some providers have different policies regarding whether they require a GP referral letter or not. We also advise to confirm that your GP accepts a 'Shared Care Agreement that means that once you are discharged from the clinic, you will be referred back to them for the prescription for medication. Medication Medication is an integral part of the journey for many people who are seeking a private ADHD diagnosis. iampsychiatry.com isn't always easy to obtain a prescription from a psychiatrist on the NHS. NHS waiting lists can be notoriously long and GPs might be reluctant to refer their patients to specialist services. Requesting 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 a provider that offers an assessment and titration. This will help you to save time and also be more convenient, particularly when you are on a tight schedule. If you are referred through this route your chosen doctor will assess you and decide whether or not you need to be monitored for a dose of medication. You will need to fill out forms that vary by doctor, but the most common ones are self-reporting forms and medical histories dating to your childhood and into adulthood. They will help your physician identify any conditions that could suggest you should not take ADHD medications if they're prescribed. If you are on a titration medication, it is likely to consist of stimulants and non-stimulant medications. These will be thoroughly assessed and monitored to determine the best combination for you. The titration process can be long and may require a number of additional appointments before you are stable. The frequency of your follow-up appointments is contingent on the type and quantity of medication that you are taking. They can be monthly or quarterly. Your doctor will ensure that you are stable with the medication, document any adverse reactions you have experienced and make any necessary adjustments to ensure that you remain on a safe dose. You will be required to attend an annual review as well as a regular health check-up that includes pulse, blood pressure, and weight measurements. For some individuals it could be that they are happy with their medication and don't require a further discussion about their titration. If you need to discuss your titration plan or treatment plan further, it is possible that you will be referred back to the private clinic who performed your initial assessment. In this scenario the titration will be included in the consultation cost. The medication will then be provided through the private prescription. This can cost more than an NHS prescription because the pharmacy will charge for the medication.