When assessing an elderly male who complains of nausea and generalized weakness, which of the following should a clinician consider before diagnosing a psychological disorder?

• A. Immediately prescribe antidepressant medication
• B. Assume the symptoms are due to normal aging
• C. Rule out possible medical conditions that could explain the symptoms
• D. Focus only on psychological factors without considering physical health

Answer: (C)

Verified step by step guidance

1. Step 1: Understand that in clinical psychology and psychiatry, it is crucial to perform a comprehensive assessment before diagnosing a psychological disorder, especially in elderly patients presenting with physical symptoms like nausea and weakness.
2. Step 2: Recognize that symptoms such as nausea and generalized weakness can be caused by various medical conditions, not just psychological disorders. Therefore, the clinician should first consider and rule out possible medical causes.
3. Step 3: Review the patient's medical history, conduct a physical examination, and possibly order laboratory tests to identify any underlying medical issues that could explain the symptoms.
4. Step 4: Avoid immediately prescribing antidepressants or assuming symptoms are due to normal aging without thorough evaluation, as this can lead to misdiagnosis and inappropriate treatment.
5. Step 5: Only after ruling out medical conditions should the clinician focus on psychological factors and consider a diagnosis of a psychological disorder if appropriate.