A client presents with symptoms of altered voluntary motor function that are incompatible with medical conditions. The client is distressed by these symptoms. Which statement is most likely to be said by the client?

Choice A rationale:

Complete elimination of all physical symptoms - This choice might not be a realistic and achievable goal for clients with somatic symptom illnesses. These conditions often involve complex factors and underlying psychological issues that might not allow for the complete elimination of physical symptoms. Furthermore, the mind-body connection in these cases can make it challenging to solely focus on the physical aspect.

Choice B rationale:

Reduction in the frequency and intensity of physical symptoms - This is a realistic and measurable goal for clients with somatic symptom illnesses. Many of these illnesses involve somatization, where emotional distress is manifested as physical symptoms. By working towards reducing the frequency and intensity of these symptoms, clients can experience improved quality of life and functioning.

Choice C rationale:

Improvement in mood and self-esteem - This is a valid goal for clients with somatic symptom illnesses. These conditions often coexist with mood disorders and low self-esteem. Addressing these psychological aspects can lead to better overall well-being and a reduction in the somatic symptoms. Additionally, improved mood and self-esteem can contribute to a client's ability to cope effectively with their symptoms.

Choice D rationale:

Ability to manage stress and cope with symptoms effectively - This is an essential goal for clients with somatic symptom illnesses. Stress can exacerbate physical symptoms and create a cycle of distress. Teaching clients effective stress management and coping strategies can empower them to handle their symptoms in a healthier way, which can ultimately lead to an improvement in their overall condition.

Choice E rationale:

Developing a dislike for medical appointments - This is not a realistic or relevant goal for the treatment of somatic symptom illnesses. Medical appointments are necessary for proper assessment, diagnosis, and treatment of these conditions. Encouraging a dislike for medical appointments could hinder the client's progress and adherence to treatment.

Choice A rationale:

Medication-based therapy - While medications can be a part of the treatment plan for somatic symptom illnesses to manage specific symptoms like anxiety or depression, they primarily address physiological symptoms and may not directly target underlying emotional factors. They are often used in conjunction with psychotherapy.

Choice B rationale:

Surgical intervention - Surgical procedures are typically not the primary approach for managing somatic symptom illnesses. These illnesses are characterized by physical symptoms that are influenced by emotional factors, and surgical intervention does not address the underlying emotional aspects.

Choice C rationale:

Cognitive-behavioral therapy - This is a commonly used therapeutic approach for somatic symptom illnesses. It focuses on identifying and addressing the underlying emotional factors that contribute to the physical symptoms. Cognitive-behavioral therapy helps individuals recognize and change dysfunctional thought patterns and behaviors that exacerbate their symptoms. By promoting healthier coping mechanisms and emotional processing, it can effectively manage both the psychological and physiological aspects of somatic symptom illnesses.

Choice D rationale:

Physical therapy - Physical therapy primarily deals with musculoskeletal and movement-related issues. While it can be beneficial for individuals with certain physical symptoms, it doesn't primarily target the emotional factors that underlie somatic symptom illnesses.