A mother brings in an 11 year old child for an initial psych…
A mother brings in an 11 year old child for an initial psychiatric evaluation. The child reports his mood changes when he is reprimanded by mother. The mother is concerned because her child checks homework over and over to be sure it is right and it is often very late before he will calm down enough to put his books away and go to bed. She doesn’t have other complaints about his behavior—he keeps his room in perfect order and helps keep order in the house. He is rigid in routine and must check under his bed five times before he will get in bed. He also must turn the lights off and on six times before he gets into bed. If he “messes up”, he must start the ritual over again. The mother is concerned because it is interfering with his sleep time. He denies hallucinations and developmentally is normal. He has never been prescribed a psychotropic. Based on this, the APRN would be prudent to recommend first line which of the following based on current evidence?