When Would Paul Be Most Likely to Be Diagnosed with a Somatic

When would Paul be most likely to be diagnosed with a somatic symptom disorder with predominant pain?

A) if he is convinced that he has a serious illness because of the pain experienced
B) if he has physical reasons for pain but psychological factors play a major role as well
C) if he has physical reasons for pain, but knowingly exaggerates the pain to gain sympathy, attention, or some other benefit
D) if he has an unrealistic fear of experiencing pain or discomfort