i wish i knew but sadly i don't know Spanish that well
What imagine? there’s no image, try asking another question with the image attached
I believe the answer is <span>the independent states of the Americas
By Americas, it refers to the whole continent, not just united states. These organizations was created to create multilateral relationship between these nations to ensure political cooperation and easier movements of materials and products.</span>
Answer: D) CBT cognitive behavioral therapy
Explanation: Cognitive behavioral therapy (CBT) is a type of psychotherapeutic treatment which is used to treat a wide range of disorders, these disorders includes; addictions, anxiety, phobia as well as depressions.
Cognitive behavioral therapy (CBT) is mostly centred around talking i.e the therapist talks to the patients to help them alter the way they sees things (perceptions) which could bring relief to their difficulties.
So Karen might best be helped by a cognitive behavioral therapist to help her overcome her phobia.
I would say A.
but C would be my second guess