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Treatment plans are dynamic documents. Persistent binges and risky behavior indicate current services are not sufficient. NCAC II competencies emphasize ongoing reassessment (including risk, medical and psychiatric status, environmental triggers, and readiness to change) and modification of intensity and interventions. Option B aligns with stepped care: increase frequency (e.g., intensive outpatient), add targeted skills (cue management, contingency management, craving regulation), incorporate sexual health education and testing referrals, and strengthen recovery supports. Option A ignores evidence of non-response. Option C may be premature and risks harm; non-response is a signal to adjust care, not abandon it. Option D lacks behavioral practice and accountability. Updating objectives to be specific and measurable (e.g., additional groups, peer meetings, scheduled negative screens, safety planning) and addressing co-occurring needs enhances engagement and outcomes.