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There is currently a nationwide shortage of medications to treat ADHD symptoms. This is due to manufacturing problems and increased global demand.
Our service is able to offer private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees include the cost of a single prescription.
Titration
A thorough evaluation of your ADHD symptoms will be carried out by a highly experienced consultant psychiatrist. This includes medical history and an assessment using the typical ADHD rating scales and questionnaires.
Following your assessment you will be advised that medication may be beneficial for your situation. This will be discussed at your follow-up appointment (which may be scheduled in person, via video link or by phone). Your clinician will discuss the various medication options available. If you decide to start medication, we can help you to titrate your dose to ensure the best balance of benefits and side effects for you.
This process may take several weeks and it involves gradually altering your child's medication until the right balance is reached. It is not uncommon to have to titrate as high as three different medications before you find the one that best suits your child's ADHD. It is crucial that parents take part in the titration and be aware of 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 be issued a private prescription for your medication. You will have to pay at the pharmacy. This is not included in the consultation cost. You'll be required to attend regular appointments every six months to monitor your medication, which includes pulse and blood pressure readings. Annual reviews are also required.
Follow-up appointments
After the assessment is complete after the assessment is completed, you can make follow-up appointments with your psychiatrist. The appointment usually takes place via a zoom video call but in certain circumstances it is possible to schedule an audio-only consultation (again at an extra cost).
We will then go over the options for treatment and then decide on the most appropriate, customized ADHD medication adjustment. This will include a discussion and review of your medication dose, as well as any side effects you might be experiencing. The cost for these titration sessions is PS150 for face-to-face sessions and PS60 for telephone or online video consultations. The pharmacy will be charged for any charges for medication.
The psychiatrist will also ask you about your family history and the impact your ADHD symptoms have on your life, including any issues with your relationships that you may be experiencing or other mental health issues you might be experiencing. ADHD can be a genetic condition, so it's important to examine your family history to determine if you're at a greater chance of developing this condition.
During the assessment, it is crucial that you are honest and open with the doctor, as they will be using the information you provide to determine if you have the diagnostic criteria for ADHD. This is an important step, since an incorrect diagnosis could lead to inappropriate medication prescription.
If you have decided that you would like to receive treatment for your ADHD, we will then arrange a follow up appointment with one of our psychiatrists who specialize in this field. This can be scheduled within the first few days of your diagnosis if you are keen to begin treatment immediately, or within two weeks if want to think about the implications of your diagnosis and the options available to you.
If you are unsure of what your preference is it is recommended that you talk with 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 advise to check if your GP accepts a "Shared-Care Agreement which means that once discharged from the clinic you will be referred back to them for the medication prescription.
Medication
The medication process is an essential aspect of the treatment process for many people who are seeking an official adhd medication titration diagnosis. Finding a prescription from an NHS psychiatrist can be a challenge and time-consuming. NHS waiting lists are notoriously long and GPs may be reluctant to refer patients on to specialist services.
One method to avoid this is to request your GP to refer you through Right to Choose (see psychiatry-uk and ADHD 360). You can pick a provider that offers an assessment on your own and the titration. This will cut down your waiting time considerably and can be more convenient if you're working and have a hectic schedule.
If you are recommended by this method, your chosen clinician will assess you and decide whether or not you require to be monitored for a dose of medication. You will need to fill out forms that are different for each provider but the most frequent ones are self-reporting questionnaires and medical histories going to childhood and adulthood. These forms will assist your doctor identify any factors that might mean you shouldn't take ADHD medications if they are prescribed.
If you are on a titration medication, this will usually be a combination of stimulants and non-stimulant medications. They will be tested and monitored to find the right combination for you. The titration adhd medications process may be lengthy and may require several additional appointments before you're able to stay on your dose.
The frequency of your follow-up appointments will be contingent on the type and quantity of medication you're taking. They can be monthly or quarterly. The appointment will involve your doctor checking to see if you are stable on the medication, recording any side effects you have had and making any adjustments needed to ensure you are on a dose that is safe. You'll also be required to attend a routine health check which can include blood pressure, pulse and weight readings and an annual check-up.
For some people it could be that they are happy with their medication and don't need a further discussion about their titration. If you need to discuss your titration or treatment plan in more detail it is possible that you will be referred back to the private clinic who made your initial assessment. In this case the titration adhd meds is included in the consultation cost. The medication will be given via an individual prescription. This may cost more than a prescription from the NHS since the pharmacy will charge for the medication.
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