A nurse is providing education about somatic symptom disorder to a client's family. Which of the following pieces of information should the nurse include in the education?

A. While somatic symptom disorder can be challenging to treat, saying there are “limited effective treatment options” is misleading and may discourage families. Evidence-based treatments, including cognitive-behavioral therapy (CBT), stress management, and coordinated care, can improve outcomes. B. Individuals with somatic symptom disorder experience real physical symptoms, such as pain, fatigue, or gastrointestinal distress, but these are not fully explained by medical conditions. The symptoms are linked to psychological or emotional factors, not intentional fabrication. This explanation helps families understand that the manifestations are genuine for the patient, even if the underlying cause is emotional rather than physical. C. Somatic symptom disorder is not primarily characterized by suicidal ideation or thoughts of death. While comorbid depression may occur in some cases, suicide is not a defining feature of the disorder. D. Factitious disorder involves intentional fabrication of symptoms, but in somatic symptom disorder, symptoms are unintentional and not consciously produced. Individuals genuinely experience distressing physical effects.