<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 comes to the physician because of palpitations, sweating, and flushing. Since he was promoted to a manager in a large software company 6 months ago, he has had several episodes of these symptoms when he has to give presentations in front of a large group of people. During these episodes, his thoughts start racing and he fears that his face will turn red and everyone will laugh at him. He has tried to avoid the presentations but fears that he might lose his job if he continues to do so. He is healthy except for mild-persistent asthma. He frequently smokes marijuana to calm his nerves. He does not drink alcohol. His only medication is an albuterol inhaler. His pulse is 78min, respirations are 14min, and blood pressure is 12075 mm Hg. Cardiopulmonary examination shows no abnormalities. On mental status examination, the patient appears worried and has a flattened affect. Which of the following is the most appropriate next step in management?? A: Olanzapine therapy, B: Duloxetine therapy, C: Cognitive behavioral therapy, D: Lorazepam therapy, E: Buspirone therapy,  <response>: This appears to be a patient with symptoms of anxiety such as palpitations, sweating, and flushing that occur in specific situations involving public speaking. He is self-medicating with marijuana. The key findings on exam are a worried affect and anxiety symptoms provoked by specific situations. This clinical picture is most consistent with social anxiety disorder. The first-line treatment would be cognitive behavioral therapy to help the patient learn to manage the anxiety symptoms and develop coping strategies for anxiety-provoking situations. Medications can be used as adjuncts but are not first-line. Olanzapine, duloxetine, lorazepam and buspirone are all medications that could potentially help anxiety but should not be used as monotherapy without first trying psychotherapy. Of the choices given, cognitive behavioral therapy is the most appropriate next step. C: Cognitive behavioral therapy 