Mr Smith Has a Diagnosis of Generalized Anxiety Disorder

Mr. Smith has a diagnosis of generalized anxiety disorder. He responded well to increasing doses of citalopram, yet begins to complain of difficulty controlling his symptoms. He specifically endorses difficulty controlling anxious behaviors. Which is the best intervention to address his concerns?

A) Refer Mr. Smith to dedicated psychiatric care.
B) Initiate treatment with a different medication.
C) Recommend that he receive cognitive-behavioral therapy (CBT) .
D) Augment his citalopram with an as needed medication.