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ADHD Medication Psychiatrists in the UK ADHD medications like methylphenidate and Lisdexamfetamine are in short supply. Patients are advised to call the pharmacy they prefer to visit to verify stock availability. In the UK there are many medications approved for treating ADHD for adults, which includes several stimulants and Atomoxetine, a non-stimulant drug. see this website choose not to take medication, opting to talk therapy instead. What is a psychiatrist? A Psychiatrist, or psychiatrist, is a doctor who is skilled in diagnosing and treating mental illness. They are trained in a biopsychosocial method of assessing and treating mental illnesses. They can prescribe medication and are often part of multi-disciplinary teams that include nurses, social workers and clinical psychologists. When diagnosing you psychiatrists will take into consideration the nature of your symptoms and your medical history. They will then determine if the medication is appropriate and what dose is needed. It could be based on your past experience with the medication or any adverse effects you've experienced. They will then prepare a prescription which can be taken to your local pharmacy. It is usually for a month's supply. If your GP agrees that the ADHD medication is still appropriate for you they will continue to prescribe it. However, if there is a shortage of certain products your GP might suggest that you use alternative treatments until the situation improves. This could include non-medicated treatments like psychoeducation and sleep routines. It could also include exercise, diet or assistance from friends or family members. NHS England has created a taskforce to look at the reform of the system because of the scarcity of ADHD medication. But this is a long-term issue, and there are many people waiting to be diagnosed and treated. Even though it's an TikTok sensation, ADHD is not a new issue. It has been known for 200 years and medics have always wondered what can be done to assist children who were not attentive and over-excitable. It is a profession which has numerous benefits, from the satisfaction of helping patients overcome debilitating conditions to the sense of achievement in removing the stigma that surrounds mental health. Garrin says that while there are not as many tangible outcomes like other medical fields, Psychiatry is an important specialty that makes a difference to the quality of life of those living with mental illness. Psychiatrists are trained to evaluate the impact of mental illness on every aspect of a person's life and they perform this work as part of a team which includes pharmacists, nurses, occupational therapists and clinical psychologists. They also have a say in the decision of admitting an individual to hospital at their own discretion, but this can only be done if an approved social worker and a second independent doctor agree that it is required. What is a Licensed Medication? A licensed medicine has been authorised for use in the UK by the Medicines and Healthcare products Regulatory Agency (MHRA). The licence indicates that the manufacturer provided evidence to the MHRA, that it has been validated in clinical trials and that the benefits outweigh the risks. The licence also identifies the condition(s) for the medication to be used, as well as the dosage recommended by the manufacturer. The licensed medicines are the most preferred option for prescribing because they have been scrutinized through a series of tests to ensure that they meet certain quality standards. However there are a variety of circumstances where an unlicensed medication may be required to meet the specific needs of the patient. This is known as off-label prescription. For example when a medicine that is licensed is not available in the strength or form required by the patient, it is possible to create a “special” to meet their requirements, e.g. a liquid formulation of a tablet that is only licensed for tablets. This is known as an extemporaneous formulation. It is a more complicated process than just crushing tablets. There are many reasons why the medicine isn't licensed in the UK. It could still be being evaluated in an ongoing clinical trial. Or, it could be awaiting a licence for an specific purpose, such as paediatric formulations or a specific dosage regime, such as enteral feeding tube administration. It is crucial to keep in mind that even though medications are regulated carefully after they have been approved for UK use, no medicine is completely risk-free. Your doctor will evaluate all medical evidence available before deciding on an off-label medicine. They will also consider the potential risks and benefits. They will also discuss the possible adverse effects of the medication with you as part of the informed consent process. It is your right to get treatments that you are comfortable with. Technology appraisals are a kind of guidance that can be used to determine if a particular treatment is appropriate for the NHS. What is an Unlicensed Medication? In the UK the UK, medicines must be licensed before they can be used widely. This involves rigorous tests to ensure that they are safe and effective for the patient group or condition for whom they are prescribed. The Medicines and Healthcare products Regulatory Agency is responsible for this process. Currently, there are strict rules around prescribing unlicensed medicines and off label prescriptions. There are also guidelines for pharmacists as well as prescribers to enhance patient care and security. There are many reasons why the medicine may not be approved in the UK. It could be awaiting an approval from the MHRA or is still being tested for clinical use. It could also be used in a different country that has different regulations. Licensed medicines can only be prescribed for specific conditions and in particular dosages. However, doctors often employ drugs in a manner that is not covered under the medicine's license, known as off-label prescribing. For example the use of ketamine off-label to treat depression and post-traumatic stress disorder. The MHRA has published a guidance note regarding the use of unlicensed medicines in children and young people's mental health services. The guidelines aim to help clinicians make decisions on when and how to prescribe non-licensed medicines as well as how to record and observe the use of unlicensed drugs in the context child and adolescent services and how best to inform patients about the dangers and benefits of using drugs that are not licensed. It is important to know what the research tells us about the treatment patients receive when they are treated with non-licensed drugs in the NHS. To collect data about the experiences of patients, an extensive literature review was conducted. The data was analysed using a flexible thematic approach to determine themes and sub-themes. The themes that were identified were: What is a Psychiatrist's Diagnose? The medical field of psychiatry that diagnoses mental illness and treats it. It is a broad field that covers a variety of issues, from mood disorders to addictions. Psychiatrists may be employed in hospitals, private practice, or community mental health services, however they will usually work closely with other health care professionals to provide patients with the highest quality of treatment. The first step in the diagnosis of a psychiatrist is to gather information about the patient. This can include a detailed medical history, questionnaires, and even conversations with friends or family. The psychiatrist then uses the information gathered to decide on the best treatment option. A psychiatrist can prescribe medication or suggest alternative ways of treatment depending on the nature and severity of the illness. Stimulants are drugs that treat ADHD. They help by stimulating brain activity in certain areas. They can aid in improving attention, reduce impulsivity, and reduce hyperactivity. The most commonly used medications prescribed for this condition include methylphenidate or lisdexamfetamine, as well as Atomoxetine. These medicines can be used in tablets with immediate release (small doses are taken 2 or 3 times per day) or modified-release tablets (taken at the beginning of the day and released throughout the day). Once a psychiatrist makes a diagnosis, they will determine a treatment plan for their patient. Therapy for behaviour, psychotherapy or a combination can be utilized. This will involve teaching the patient coping strategies and assisting them to understand their situation. The psychiatrist will also monitor side effects and modify the medication to determine the appropriate dosage for each patient. While some believe that ADHD has been over-medicalised but the truth is that it's a serious condition with real consequences for people and their families. There are around 2.6 million adults and children with the condition in the UK however, 80% don't have an diagnosis. This is why a diagnosis is so important.