Hillary, 20 years old, senior high school graduate, a grocery staff, was referred to psychiatry for social

withdrawal. She has been maintained on risperidone since age 12 for irritability and poor impulse
control which have been associated with impaired social communication. She was recommended to
undergo cognitive behavioral therapy and after three sessions she became socially withdrawn which
persisted thus this consultation. What is the problem with Hillary?

A. She is needing electroconvulsive therapy for depressive symptoms

B. She is not depressed but disappointed with her therapist who initiated the cognitive-behavioral
therapy
C. She needs 20 sessions in cognitive behavioral therapy to control her depressive symptoms
D. She does not qualify to undergo cognitive-behavioral therapy
E. She belongs to Autism Spectrum Disorder