Review Question - QID 108762

A 27-year-old Caucasian female presents to her physician for episodes of urinary incontinence that began shortly after a breakup with her boyfriend. She claimed to be psychologically devastated when she found him sleeping with her brother and has had trouble caring for herself ever since. The patient states that the episodes came on suddenly and occur randomly. The patient denies any burning or pain upon urination. Upon obtaining further history, the patient also states that she has "stress spells" in which her vision becomes blurry or has blind spots. The patient also complains of frequent headaches. These symptoms have persisted for the past few years and she attributes them to arguments with her boyfriend. Embarrassed, the patient even admits to episodes of fecal incontinence which she also blames on her boyfriend's perpetual verbal and occasional physical abuse. Her temperature is 98.6°F (37°C), blood pressure is 121/82 mmHg, pulse is 82/min, and respirations are 12/min. The patient is tearful and a physical exam is deferred until her mood improves. Which of the following is the most appropriate next step in management?