<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 14-year-old girl presents to the pediatrician for behavior issues. The girl has been having difficulty in school as a result. Every time the girl enters her classroom, she feels the urge to touch every wall before heading to her seat. When asked why she does this, she responds, Im not really sure. I just cant stop thinking about it until I have touched each wall. The parents have noticed this behavior occasionally at home but were not concerned. The girl is otherwise healthy, has many friends, eats a balanced diet, does not smoke, and is not sexually active. Her temperature is 98.2F 36.8C, blood pressure is 11774 mmHg, pulse is 80min, respirations are 15min, and oxygen saturation is 98 on room air. Physical exam is notable for a healthy young girl. Neurologic exam is unremarkable. There is no observed abnormalities in behavior while the girl is in the office. Which of the following is the most appropriate initial step in management for this patient?? A: Clomipramine, B: Cognitive behavioral therapy, C: Fluoxetine, D: Lorazepam, E: Risperidone,  <response>: This is a question about managing a 14-year-old girl with possible obsessive-compulsive disorder OCD presenting with repetitive behaviors of touching walls. The key findings are the urge to repeat behaviors, difficulty stopping the thoughts about the behavior, and impairment in functioning due to the repetitive behavior. The choices provided are different medications and a psychotherapy. Clomipramine, fluoxetine, and risperidone are medications used for OCD treatment. Lorazepam is a benzodiazepine used for anxiety. Cognitive behavioral therapy CBT is a psychotherapy focused on changing thought patterns and behaviors. For a newly diagnosed pediatric case of OCD, the most appropriate initial step would be a trial of psychotherapy such as CBT before starting medications. Medications can have side effects and CBT teaches skills to manage OCD symptoms.B: Cognitive behavioral therapy 