Psychiatrymiddle twist
A 29-year-old woman attends for the fourth time in six months with headache, abdominal pain and difficulty sleeping. Investigations at the previous visits were all normal. Her partner has come to every appointment, sits close beside her and answers most of the questions; today he says she has been making things up again. She has cancelled two specialist referrals. She looks down when he speaks, and her arms are covered despite the heat. Which one of the following should the registrar do first?