Answer:
b. psychological
Step-by-step explanation:
Psychological cause: The term psychological cause or problem is defined as the psychological problems that leads an individual to dysfunction in various aspect in life and it is often associated or linked to impairment or distress and different culturally unexpected reactions.
Psychological dysfunction causes an individual to encounter deteriorating functions related to emotions, behavior, or cognition.
In the question above, Elsa's sexual problem is a result of the psychological cause as it creates tension in the proper functioning and anxiety without any justified reason.