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There is currently a nationwide shortage of medication that helps to treat ADHD symptoms. This is due to manufacturing issues and a growing global demand.

Our service can provide private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessments are free and include the cost of one prescription.

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A highly skilled consultant psychiatrist will conduct a thorough evaluation of your ADHD. This includes medical history and an assessment using the typical ADHD rating scales and questionnaires.

After your examination, you will be informed whether medication may be beneficial in your case. This will be discussed during your follow-up appointment (which may be scheduled in person, by video link or over the phone). Your physician will go over the various options for medications available. If you decide to start taking medication, we will offer you the option of titrating your dose to maximize the benefits/side effects balance for you.

This is a process which could take a few weeks and involves adjusting your child's medication gradually until the appropriate balance is reached. It's not uncommon to need to titrate several times before determining the most effective one for your child's ADHD symptoms. It is important that parents take part in the titration process and be on the lookout for their child's behavior so they can inform doctors whether the medication is working or causing adverse reactions.

Unless you have decided to return to NHS treatment the medication you take will be given as a prescription from a private adhd medication titration pharmacy that you will need to pay for at the pharmacy (this is not included in your 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 mandatory.

Follow-up appointments

Once the assessment has been completed, you will be able to book follow up appointments with your psychiatrist, if necessary. The appointment is usually done by video conference using zoom. However, in some circumstances, it might be possible to have an audio-only appointment to be scheduled (again with an additional cost).

At this point, we will discuss any treatment options we have and come up with a unique ADHD medication titration strategy. This will include a review of your medication dose and a discussion of any possible side effects you might be experiencing. The cost of these titration consultations is PS150 for face-to-face sessions and PS60 for online or telephone video consultations. The cost of medication is additional and are paid directly to the pharmacy.

The doctor will also ask you about your family background and the impact your ADHD symptoms can have on your life, including any issues with your relationships that you may be experiencing or other mental health issues you may be experiencing. ADHD can be a hereditary condition, and it's vital to assess your family background to determine if you are at chance of developing this condition.

During this examination, it is crucial to be truthful and open with the doctor, as they will use the information you provide to determine whether you have the diagnostic criteria for ADHD. This is a crucial step in the process as failing to do so could result in an incorrect diagnosis and therefore inappropriate prescribing of medication.

If you've decided that you'd like to receive treatment for your ADHD, we will then schedule a follow-up appointment with one of our psychiatrists that specialize in this field. If you'd like to begin treatment immediately 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 what options you have.

If you are unsure of what your preference is it is recommended that you talk to your GP prior to scheduling your private assessment as some providers have different policies about whether they require a GP referral letter or not. We also recommend to check if your GP accepts a "Shared Care Agreement that means that once you are discharged from the clinic you will be sent back to them to get the medication prescription.

Medication

For many people who want an official diagnosis of ADHD medication is a key aspect of their journey. Finding an appointment with an NHS psychiatrist can be a challenge and long-winded. NHS waiting lists are notoriously long, and GPs may be reluctant to refer patients 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). This means you can select a provider that offers a private assessment and titration. This can reduce your wait time by a significant amount and is more convenient if you're working and have a busy schedule.

After you have been referred, your clinician will evaluate you to determine if need medication adjustment. You'll need to fill out forms that are different for each provider however the most commonly used ones are self-reporting questionnaires and medical histories going to childhood and adulthood. These forms will assist your doctor identify any conditions that could indicate that you shouldn't be taking ADHD medications if they're prescribed.

If you are titrated, the medication will consist of stimulants and non-stimulant drugs. They will be carefully tested and monitored to determine the most suitable combination for you, taking into account any current conditions you suffer from. The titration procedure can be a lengthy process and may require multiple appointments before the dose becomes stable.

Depending on the type of medication you're taking, follow-up appointments could be scheduled monthly or quarterly. This will involve your clinician making sure that you are stable on the medication, logging any side effects you've experienced and making any adjustments needed to ensure that you're in a safe dosage. You will also be required to undergo a regular health check that may include blood pressure and pulse readings, as well as weight and weight measurements as well as an annual check-up.

For some people, it may be that they are content with their medication and don't require a further discussion about their titration. If you're required to discuss your titration plan or treatment plan further, it is possible that you will be referred to the private clinic who performed your initial assessment. If this occurs, the titration appointment will be included in their consultation fee, and they will be given their medication on an individual prescription (see Consultation fees above). This can cost more than prescriptions from the NHS since the pharmacy will charge you for the medication.