16-year-old girl reports academic decline, marked by falling grades and missed classes. She spends an excessive amount of time checking the locks on doors at her home and repeatedly arranging objects in her room to achieve a level of symmetry that she finds elusive. These ritualistic behaviors are significantly interfering with her daily functioning. Which neurotransmitters are hypothesized to be involved in the pathogenesis of this patient's condition?
A. Serotonin and norepinephrine
B. Serotonin, norepinephrine, glutamate, and gamma-aminobutyric acid
C. Norepinephrine, dopamine, and glutamate
D. Serotonin, dopamine, and glutamate