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When Does Compulsive Lying Become a Pathological Disorder?

March 12, 2021

9 min read

Author : United We Care
When Does Compulsive Lying Become a Pathological Disorder?

Most of you may have read William Shakespeare’s quote, “no legacy is so rich as honesty”, yet we sometimes choose to lie. While we all lie occasionally, there is a difference between an occasional liar and a pathological liar. When a person lies effortlessly and those lies come naturally to them instead of the truth, it is often recognized as pathological lying. If not treated, pathological lying can result in a mental health condition known as Compulsive Lying Disorder.

Understanding Pathological Liars and Compulsive Lying Disorder


There is no psychiatric definition of a pathological liar. Otherwise known as mythomania or pseudologia fantastica, pathological lying is a mental disorder in which someone lies habitually or compulsively. However, such a condition can be a symptom of depression, anxiety, psychopathy, bipolar disorder, obsessive-compulsive disorder or narcissistic personality disorder.

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Nature of Pathological Lying


Pathological lying is common in both men and women. Therefore the consensus is that, in most cases, lying begins in childhood or adolescence and continues throughout a person’s life. Although lying is developmentally normal in children wherein they may lie to escape a situation or lie to get something, the problem begins when the lying becomes persistent. It may even become detrimental to everyday life. At this stage, the nature of lying becomes pathological.

If a person lies out of habit and cannot control this behaviour, they are considered pathological liars. It ends up becoming their way of living. For them, lying seems more comfortable and convenient than telling the truth. Such people usually come from an emotionally unstable environment, have difficulty coping with feelings of anxiety & shame, or have low self-esteem.

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What is a Pathological Liar?


A pathological liar is someone who lies all the time compulsively with or without any apparent purpose or personal gain. In many cases, pathological liars cannot function without telling lies. They continue to lie even at the cost of damaging their own reputation. If exposed, a pathological liar may have difficulty admitting the truth.  They look at a situation from their perspective and disregard the consequences entirely. This condition can affect their relationship with everyone close to them such as their partners, parents, children, employees, bosses or friends.

Science of Pathological Lying


study revealed that pathological liars tend to have increased white matter in the brain when compared with non-pathological liars. The verbal skills and intelligence of pathological liars were mostly similar or at times better as compared to non-pathological liars. Scientists concluded that the increased white matter in the brain’s pre-frontal cortex was responsible for pathological lying.

Difference Between Pathological Liar and Compulsive Liar


A pathological liar tends to be manipulative or sly and hardly cares for other people’s feelings. They believe they will achieve something when they lie and defend their act when caught. A compulsive liar, on the other hand, cannot control his lying behaviour and lies out of habit.

At no point will pathological liars admit that they are lying. Additionally, they lie with great conviction, start to believe their lies, and sometimes become delusional. Pathological lying is a trait usually found in people with personality disorders. That said, it is not required for a pathological liar to have other mental health issues to be diagnosed as a pathological liar.

Compulsive liars may not intend to lie, but end up lying out of habit. Low self-esteem is the most common trait seen in all compulsive liars. Although compulsive lying is relatively harmless, it can be frustrating for people living with this disorder.

Nature of Lies Told by Pathological Liars


One can see apparent differences between white lies and those told by pathological liars. White lies are harmless, without malice, and are typically told to avoid conflict, hurt or trouble people. Pathological lies, on the other hand, are lies that are told for no good reason. However pathological liars find it difficult, to tell the truth, so they tell lies and do not feel guilty or feel that they are at risk of being caught in a lie. Some people suffer from a compulsion to lie and do so often. They often don’t realize that they may be hurting the people around them.

Characteristics of a Pathological Liar


There are many characteristics of pathological liars which can be found in their everyday conversations. They are pathological liars not just because they lie, but because more often than not, they believe in their lies and crave attention and their low self-worth causes them to concoct stories that make them feel better.

They Play the Hero or Victim Card

Usually, pathological liars rely on being the heroes or the victims of any story. They are hardly ever seen or heard to be bystanders in any plot that they lie about and look for some reaction or wish to draw attention to themselves in the story they build.

They are Dramatic

Most pathological liars tend to dramatize everything they narrate.  They exhibit no causal emotions. Almost everything is derived from extreme dramatic untruths and how they responded to them. They are great storytellers and love the attention their stories bring. When lying, they tend to keep their stories believable to enforce their lie.



Diagnosis of Pathological Lying

Like most mental health conditions, there is no easy diagnosis of pathological lying. However, doctors and therapists can identify the condition. There are many interviews and tests medical professionals can conduct to diagnose a pathological liar.

To make their lies believable, pathological liars will often say believable things like they were diagnosed with a disease or they had a death in the family. A good therapist or psychologist will be able to separate the facts from the lies and treat the patient accordingly. Also, they will know that the symptoms will be different in different patients.

To diagnose pathological lying, doctors or therapists usually:

1. Talk to their friends and family

2. Sometimes use a polygraph test

3. Understand if the patient believes the lie

When Pathological Lying Becomes Compulsive Lying Disorder


Pathological lying can turn into compulsive lying disorder if left untreated. People with compulsive lying disorder are usually in denial of the condition and will need all the support they can get. As mentioned before, their lies are different from the white lies that people often tell to get out of a situation. If pathological lying becomes a compulsive lying disorder, people start to create falsehoods. When one recognizes the truth, it can become challenging for everyone to cope with the situation.

How to Help Someone with Compulsive Lying Disorder


If pathological lying turns into a disorder, you can do the following to help the patient:

1. Be understanding

2. Remember it is not about you

3. Do not get angry or frustrated

4. Do not take it personally

5. Do not engage in their lies

6. Be supportive

7. Do not judge

8. Call them out on their lies patiently

9. Let them know you care

10. Motivate them to see a counsellor or therapist

Treatment for Compulsive Lying Disorder


In most cases, pathological and compulsive liars do not wish to seek treatment. If they are ordered and directed, these liars might consider treatment. Often, it takes a supportive circle of family and friends along with an understanding therapist to help treat Compulsive Lying Disorder.   

There are a lot of things that a medical professional can do to help pathological liars. Given that easy diagnosis is not possible for this condition, therapists will have to explore and study the patient’s history to see if they suffer from any other health conditions. It could also be a condition that there is no influence of any other underlying condition. The following treatment methods are for pathological liars,:

Cognitive Behavioral Therapy (CBT)

There is a kind of stigma, with CBT for compulsive liars. However, a trained therapist providing CBT can do wonders in treating compulsive lying disorder. Cognitive Behavioral Therapy is necessary if the patient is suffering from behavioural issues.

Dialectical Behavioral Therapy (DBT)

Dialectical Behavioral Therapy has seen great success in treating compulsive or pathological lying. If the person has a personality disorder, medical professionals believe this form of therapy can help in treating the mental health condition.


If the patient has a combination of health issues, there can be a suggestion of medication to help deal with all the conditions which might be the underlying issue of their behaviour, such as anxiety, depression or phobias.

Treating compulsive lying disorder is a team effort. This means that the patient, their friends & family, and the medical professional treating the patient are all stakeholders in the treatment.

Dealing with Compulsive Liars


Many people suffer from mental health disorders. One of the lesser-known conditions is pathological or compulsive lying disorder. Often, people mock those who lie. Some people lie out of fear of facing the negative repercussions of telling the truth. At the same time, others may lie to fulfil their materialistic needs. Some people just find it thrilling to lie. However, it is essential to differentiate between those who choose to lie and those who lie because they suffer from a disorder. Not all who lie are doing it on purpose.

Therapist for Compulsive Lying

If you are someone suffering from a pathological or compulsive lying disorder or know someone who suffers from this mental health condition, you should seek help from a trained psychotherapist. Talk to the people who love & value you, and learn how to deal with stress and anxiety using different methods. It is advisable to seek professional help, as medical professionals can give appropriate treatment with compassion and care.

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Author : United We Care

Founded in 2020, United We Care (UWC) is providing mental health and wellness services at a global level, UWC utilizes its team of dedicated and focused professionals with expertise in mental healthcare, to solve 2 essential missing components in the market, sustained user engagement and program efficacy/outcomes.

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