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There is a national shortage of medications to treat adhd titration waiting list symptoms. This is due both to manufacturing problems and an increase in demand worldwide.

Our service is private adhd medication titration treatment instead of waiting for NHS funding via Right to Choose. Our assessment fees cover the cost of a single prescription.

Titration

A comprehensive assessment of your ADHD symptoms will be conducted by a highly experienced consultant psychiatrist. This includes a thorough medical history and an assessment using the common ADHD questionnaires and rating scales.

After your examination, you will be advised if medication is considered to be beneficial for your situation. The discussion will take place at your follow-up appointment (which can take place in person, by video link or over the phone). Your clinician will discuss the various options for medications available. If you decide to begin medication, we will offer you the option of titrating your dose to ensure the best balance of benefits and side effects for you.

This is a process which can take several weeks. It requires adjusting your child's dosage slowly until the right balance is reached. It is not uncommon to to titrate as high as three different medicines until you discover the one that is most suitable for your child's ADHD. It is important that parents are involved in the titration and be aware of their child's behavior so they can let the doctors know whether the medication is working or causing adverse reactions.

If you decide to return to NHS treatment, you will receive an individual prescription for your medication. You will be required to pay at the pharmacy. This is not included in the consultation fee. 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 assessment has been completed you will be able to make follow up appointments with the psychiatrist, as necessary. Typically, the appointment will take place via a zoom video call however in some instances it might be possible to have an audio-only consultation (again at an additional cost).

We will then discuss the options for treatment and then decide on a bespoke, individualised ADHD medication adjustment. This will include a discussion and review of your medication dosage and any side effects that you might be experiencing. The cost for these titration sessions is PS150 for face-to-face sessions and PS60 for online or telephone video consultations. The pharmacy will charge you for any medication costs.

The psychiatrist will also inquire with you about your family background and the impact your adhd medication titration symptoms can have on your life, as well as any relationship issues you might be having or other mental health issues you might be experiencing. This is due to the fact that ADHD is a genetic condition and it is important to look into any family history that might suggest that you are at risk of developing the disorder.

During the assessment, it is vital to be truthful and honest with your doctor, as they will be using the information you provide to determine whether you have the diagnostic criteria for ADHD. This is a crucial step because a wrong diagnosis could result in an inappropriate prescription of medication.

If you decide to be treated for ADHD, we'll arrange an appointment for a follow-up visit with a psychiatrist that is skilled in this area. If you'd like to start treatment right away it is possible to start treatment at the time of diagnosis. Or you can wait for two weeks before considering the implications of the diagnosis and your options.

If you're not sure what your preference is it is recommended that you talk with your GP before booking your private assessment as some providers have different policies regarding whether they require an GP referral letter or not. Make sure that your GP accepts the Shared Care Agreement, which means that you will be referred to them when you leave the clinic to get a medication prescription.

Medication

For many people who want an official diagnosis of ADHD treatment is a crucial aspect of their journey. The process of getting a prescription from an NHS psychiatrist can be difficult and lengthy. NHS waiting lists can be notoriously long, and GPs may be reluctant to refer 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 select a provider that provides an assessment that is private and titration. This will help you save time and be more convenient, especially when you are on a tight schedule.

After you've been referred through this route, your chosen clinician will assess you and decide whether or not you're required to be titrated on medication. You will be asked to fill out forms that are different for each provider, but the main ones are self-report questionnaires as well as medical histories from childhood and adulthood. They will help your physician determine any issues that could indicate that you shouldn't be taking ADHD medications if they're prescribed.

If you are being titrated on medication, it will typically be a combination of stimulants and non-stimulant medications. They will be carefully tested and monitored to determine the most suitable combination for you, taking into consideration any existing conditions you have. The titration process may be lengthy and may require some additional appointments before you're stable on your dosage.

The frequency of your follow-up appointments will be contingent on the type and amount of medication that you are taking. They can be scheduled for monthly or quarterly. This will include your physician making sure that you are stable on the medication, noting any adverse effects you've experienced and making any necessary adjustments to ensure that you're on a safe dosage. You'll also be required to attend a regular health check that may include blood pressure readings, pulse and weight as well as an annual review.

For some it could be that they are happy with their medication and don't require any further discussion on their titration. If, however, they do need further discussions about their titration and treatment plan it's possible to be passed back to the same private clinic that performed their initial assessment. In this scenario, the titration adhd meds will be included in the consultation cost. The medication will then be administered via an individual prescription. This can cost more than an NHS prescription since the pharmacy will charge for the medication.