How do doctors decide between atomoxetine and stimulants for adults?

Clinicians look at several factors, including symptom profile, side effect history, medical conditions, anxiety levels, and patient preference. Stimulants are often first line, but they’re not the right fit for everyone. Atomoxetine may be considered if stimulants cause intolerable side effects, worsen anxiety, or aren’t effective. The decision is individualized, not hierarchical. It’s about finding the option that best supports functioning with the least burden. Trying one option doesn’t close the door on others later.