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Additional Info There is a national shortage of medications that treat ADHD symptoms. This is due to manufacturing issues and an increased global demand. Our service provides private ADHD treatment instead of waiting for NHS funding via Right to Choose. Our fees for assessments include the cost of one prescription. Titration A comprehensive assessment of your ADHD symptoms will be conducted by an experienced consultant Psychiatrist. This includes a complete medical history, as well as an assessment using the standard ADHD questionnaires and rating scales. After your examination, you will be advised whether medication may be beneficial in your particular situation. The discussion will take place at your follow-up appointment (which can take place in person, via video link or over the phone). Your clinician will explain what medication options are available and, if you decide to start on medication we will offer to titrate the dose to optimise the balance of benefits and side effects for you. This is a process which could take a few weeks and involves adjusting your child's medication gradually until the proper balance is achieved. It is not uncommon to to titrate up to three different medications until you discover the one that best suits your child's ADHD. It is essential that parents are involved in the titration and keep an eye out for their child's behavior so that they can let the doctors know whether the medication is helping or causing adverse effects. If you decide to return to NHS treatment you will receive an individual prescription for your medication. You will have to pay for your prescription at the pharmacy. This is not included in the consultation cost. You must attend regular appointments every six months to monitor your medication, which includes blood pressure and pulse readings. Annual reviews are also required. Follow-up appointments After the evaluation is completed after the assessment is completed, you can make appointment with the psychiatrist. Usually the appointment will take place through a video call using zoom but in certain circumstances it might be possible to have an audio-only consultation (again at an additional cost). We will then go over treatment options and decide on the most appropriate, customized ADHD medication adjustment. This will include a discussion and review of your medication dosage, as well as any side effects that you might be experiencing. These titrations cost PS150 for face-to-face sessions and PS60 via video or telephone consultation. The pharmacy will be charged for any cost of medication. The psychiatrist will ask questions regarding your family history as well as the effects of your ADHD symptoms on your life and any relationship problems or mental health issues that you might be experiencing. ADHD can be a hereditary condition, and it's vital to look into your family's history to determine if you're at chance of developing this condition. During this examination, it is vital to be truthful and honest with your doctor, as they will be using the information you provide to determine if you have the diagnostic criteria for ADHD. This is a crucial step, as an incorrect diagnosis could lead to inappropriate medication prescription. If you have decided that you'd like to be treated for your ADHD, we will then set up a follow-up appointment with one of our psychiatrists who specialize in this field. This can be done at the time of your diagnosis if you want to start treatment immediately or within two weeks if prefer to take time to think about the implications of your diagnosis and the alternatives available to you. If you're not sure which one you prefer it is recommended that you talk with your GP prior to scheduling your private appointment as certain providers have different policies about whether they require a GP referral letter or not. Check if your GP accepts the Shared Care Agreement, which means that you will be referred to them once you leave the clinic for prescriptions for medication. Medication For many who wish to obtain an individual diagnosis of ADHD treatment is a key aspect of their journey. see this page isn't always easy to obtain an appointment with a psychiatrist on the NHS. NHS waiting lists are notoriously long and GPs are often reluctant to refer patients on to specialist services. One way to get around this is to ask your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). This means that you can select a provider that offers an assessment and titration. This can cut down on wait time significantly and is more convenient when you are working and have a hectic schedule. Once you have been referred through this route your chosen doctor will assess you and decide whether or not you require to be titrated on medication. You will be asked to fill in forms that differ by doctor but the most important ones are self-report questionnaires as well as medical histories from childhood and adulthood. These will help your clinician determine any issues that could suggest you should not take ADHD medications if they are prescribed. If you are titrated, the medication will be a combination stimulants and non-stimulant drugs. These will be carefully tested and monitored to find the most suitable combination for you. The titration can be long and may require multiple appointments before you are stable. The frequency of your follow-up appointments will be contingent on the type and quantity of medication that you are taking. They could be scheduled monthly or quarterly. Your doctor will ensure that you are stable with the medication, document any side effects you've experienced, and make any needed adjustments to ensure that you remain on a safe dose. You will be required to go to an annual review as well as a routine health examination which includes pulse, blood pressure, and weight measurements. Some people might be satisfied with their treatment and don't need to discuss their titration process further. However, for those who require further discussions regarding their titration and treatment plan it's possible to be passed back to the private clinic that made their initial assessment. If this occurs, the titration consultation will be part of their consultation fees and they will be given their medication through a private prescription (see Consultation fees above). This may cost more than prescriptions from the NHS since the pharmacy will charge for the medication.