question: 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'},