<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 38-year-old woman presents with anxiety. She says that, for as long as she can remember, she has been anxious, especially when at work or in social situations, which she has difficulty controlling. She also reports difficulty sleeping, irritability, and muscle tension. She says her symptoms have significantly limited her work and personal relationships. She has no other significant past medical history. The patient denies any history of smoking, alcohol consumption or recreational drug use. She is afebrile, and her vitals signs are within normal limits. A physical examination is unremarkable. Which of the following medications would be the most appropriate first-line treatment for this patients most likely diagnosis?? A: Propranolol, B: Buspirone, C: Paroxetine, D: Alprazolam, E: Lurasidone,  <response>: This question describes a patient with symptoms of anxiety, including difficulty controlling anxiety, especially in social situations, as well as difficulty sleeping, irritability, and muscle tension. The symptoms are long-standing and have significantly impaired the patients work and relationships. There is no other significant medical history and the physical exam is unremarkable. Based on the chronic nature of the symptoms and the lack of any other medical cause, this is most consistent with a diagnosis of generalized anxiety disorder GAD. The question asks for the most appropriate first-line medication treatment. The first-line options for GAD are SSRIs like paroxetine and SNRIs like venlafaxine. Benzodiazepines like alprazolam can provide rapid relief but have risks of dependence and are not recommended as routine first-line therapy. Buspirone is also a reasonable option. Propranolol, a beta blocker, would not be appropriate as it is used for performance anxiety rather than generalized anxiety.C: Paroxetine 