The options screen can be resized like most windows... mouse over any edge until you see the cross cursor, then click and drag the window edge to resize. Areas other than the window edge that display the cross should allow you to move the window. Its been my experience that if a windows titlebar is off screen, adjusting its size or starting a move will automatically align the titlebar to the top of screen.
If all else fails, try the Locator found under FetishCentral. This allows you to find and move (via text boxes) almost any window in the UI, even if its completely off screen.
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