<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 21-year-old female college student is brought to the university clinic by her roommates. They became worried because they noted long strands of hair all over the dormitory room floor. This has progressively worsened, with the midterms approaching. During discussions with the physician, the roommates also mention that she aggressively manipulates her scalp when she becomes upset or stressed. Physical examination reveals an otherwise well but anxious female with patches of missing and varying lengths of hair. A dermal biopsy is consistent with traumatic alopecia. What is the single most appropriate treatment for this patient?? A: Cognitive-behavior therapy or behavior modification, B: Clomipramine, C: Venlafaxine, D: Phenelzine, E: Electroconvulsive therapy,  <response>: This is a question about treating a patient with trichotillomania, which is a disorder characterized by the compulsive urge to pull out ones own hair. The key details in the stem are that the patient is a 21-year-old female college student who pulls out her hair when stressed or upset, leading to patchy hair loss and a diagnosis of traumatic alopecia on biopsy. Choice A, cognitive-behavioral therapy, is a form of psychotherapy that focuses on modifying maladaptive thought patterns and behaviors. This would directly target the compulsive hair pulling urges and provide skills to manage stress more adaptively. Choice B, clomipramine, is a tricyclic antidepressant sometimes used to treat obsessive-compulsive disorder. It could potentially help reduce hair pulling compulsions. Choice C, venlafaxine, is an SNRI antidepressant that is not a first-line agent for trichotillomania or OCD. Choice D, phenelzine, is an MAOI antidepressant also not typically used as a first-line treatment for trichotillomania. Choice E, ECT, is an extreme last-resort treatment that would not be appropriate for trichotillomania in this otherwise medically healthy young patient.A: Cognitive-behavior therapy or behavior modification 