When interpreting patient-reported symptoms in SSRD, which approach is most appropriate?

• A. Rely solely on patient self-report without corroboration.
• B. Consider potential inconsistencies, functional presentations, absence of objective findings, and corroborate with collateral information; use structured assessments.
• C. Assume symptom severity reflects underlying disease even when tests are normal.
• D. Avoid collateral information and rely on impressions.

Answer: (B)

In SSRD, symptoms are real to the patient but may not match objective medical findings, so the best approach is to integrate the patient’s self-report with a careful, structured assessment and collateral information. Validate the distress the patient feels, but remain attentive to inconsistencies between reported symptoms and the exam or tests, patterns that suggest functional presentations, and the common absence of objective findings. Gathering collateral information (medical records, information from family or caregivers) helps build a fuller picture and reduces bias. Using structured, validated assessments and interviews ensures you evaluate symptom burden, functional impact, and DSM-5–relevant criteria in a reliable way. This approach avoids assuming disease when tests are normal, while also not dismissing the real suffering the patient experiences, and it guides appropriate next steps like targeted treatment and coordinated care with mental health services.