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

"There are limited effective treatment options for this disorder."

"Somatic symptom disorder is characterized by suicidal ideations or thoughts of death."

"Individuals may intentionally make up the symptoms they are experiencing."

"Individuals with somatic symptom disorder experience real physical effects, but these manifestations are due to emotional causes rather than physical ones."