Which psychological referral is considered nonessential for Sam's care?

The referral to a psychologist for disturbed body image is considered nonessential in this context because, while psychological support can be beneficial for individuals with a disturbed body image, it may not be the immediate priority in Sam's overall care plan. The focus might be more beneficially directed toward interventions that address physical health, such as counseling for chronic illness, support for weight gain, or consultations with a dietician for meal planning. These approaches are typically critical in ensuring Sam's nutritional and overall health needs are met first, which can subsequently improve psychological well-being.

In this scenario, addressing physical health may have a more direct and immediate impact on Sam's condition than psychological referrals alone. By prioritizing support that directly contributes to physical health outcomes, the comprehensive care plan can create a stronger foundation for any subsequent psychological enhancements, including addressing body image issues when more readiness or stability has been achieved.