Which statement best describes the framing of SSRD when educating families?

• A. Symptoms reflect deliberate deception
• B. Symptoms reflect maladaptive brain-body communication rather than conscious control
• C. Symptoms are purely imaginary
• D. Symptoms are under voluntary control

Answer: (B)

When educating families about SSRD, the most helpful framing is that symptoms arise from maladaptive brain-body communication rather than conscious control. These symptoms are real and distressing, but they are not produced on purpose or through deliberate action by the person. The brain’s processing of sensation and movement can become over-responsive or misinterpreting signals, leading to functional symptoms. This view avoids blaming the person or suggesting illness is imaginary or voluntary, and it guides treatment toward retraining brain-body pathways through education, coping strategies, physical therapy, and other supportive approaches.