<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 25-year-old man is brought to the emergency department by police for aggressive behavior. The patient is combative and shouts sexually aggressive remarks at the nursing staff. While obtaining the patients vitals, it is noted that he has markedly dilated pupils. His temperature is 98.2F 36.8C, pulse is 112min, blood pressure is 13070 mmHg, respirations are 18min, and oxygen saturation is 98 on room air. Urine toxicology is obtained and sent off. Physical exam is notable for an energetic patient with dilated pupils and increased sweating. The patient spends the night in the emergency department. In the morning the patient is withdrawn and has a notable depressed affect. He apologizes for his behavior the previous night and states that he is concerned about his problem and wants help. Which of the following is appropriate management of this patient?? A: Acamprosate, B: Disulfiram, C: Naltrexone, D: Psychotherapy, E: Varenicline,  <response>: This is a clinical vignette describing a 25-year-old man brought to the emergency department by police for aggressive behavior. Key findings include dilated pupils, increased heart rate and blood pressure, normal temperature and oxygen saturation. A urine toxicology screen was sent. The history and exam findings are consistent with sympathomimetic toxicity, likely from stimulant use such as cocaine or methamphetamine. The next morning, the patient has a depressed affect and is remorseful, indicating he is coming down from the stimulant high. He acknowledges having a substance use problem and wants help. The answer choices list medications used for alcohol disulfiram, acamprosate, naltrexone and smoking varenicline cessation. However, the patients presentation is most consistent with stimulant use. Psychotherapy would be an appropriate part of his treatment plan, but medication management specifically targeting his stimulant use should also be considered.D: Psychotherapy 