Question

scenario: a 14-year-old girl with adhd and anxiety is being treated with atomoxetine. she complains of increased anxiety symptoms. question: what is the best approach to manage her treatment? discontinue atomoxetine and switch to a stimulant. reduce the dose of atomoxetine. add an ssri to her treatment plan. increase the dose of atomoxetine.

Explanation:

Atomoxetine can sometimes exacerbate anxiety. Reducing its dose may alleviate the increased anxiety symptoms while still addressing ADHD. Switching to a stimulant (first option) may also worsen anxiety. Adding an SSRI (third option) is not the first step, and increasing the dose (fourth option) would likely increase anxiety. So reducing the dose of atomoxetine is the best initial approach.

Answer:

B. Reduce the dose of atomoxetine.