You are answering a USMLE-style medical question. Question: A 35-year-old woman is brought into the clinic by a concerned neighbor who says that the patient is often seen setting up bear traps all around her property because of an impending ‘invasion of the mole people.’ The patient has come to the clinic wearing a garlic necklace. She vaguely explains that the necklace is to mask her scent from the moles tracking her. She has no past psychiatric history and she denies hearing voices or seeing objects. No significant past medical history. Although she has lived in the same community for years, she says she usually keeps to herself and does not have many friends. She holds a regular job at the local hardware store and lives alone. Which of the following is the best initial course of treatment for this patient? Options: A) Cognitive behavioral therapy (CBT) B) The patient does not require any intervention C) Electroconvulsive therapy (ECT) D) Refer to outpatient group therapy Reply with ONLY the letter of the correct answer (A, B, C, or D). No explanation.

A
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