A Patient Reports Severe Pain During Intercourse Since Being Sexually

A patient reports severe pain during intercourse since being sexually assaulted three years ago.What is the first step in confirming the diagnosis of a pain disorder?

A) Evaluating the patient's understanding of the emotional effects of the assault
B) Asking the patient to keep a journal of her feelings regarding the assault
C) Assessing the patient for posttraumatic stress disorder
D) Ruling out a physical cause of the pain

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