Which Are Examples of Primary and Secondary Gains That Clients

Which are examples of primary and secondary gains that clients diagnosed with SSD: predominately pain, may experience?

A) Primary: chooses to seek a new doctor; Secondary: euphoric feeling from new medications
B) Primary: euphoric feeling from new medications; Secondary: chooses to seek a new doctor
C) Primary: receives get-well cards; Secondary: pain prevents attending stressful family reunion
D) Primary: pain prevents attending stressful family reunion; Secondary: receives get-well cards