He seems a bit secretive, not willing to talk or disclose much about himself, and was consistently looking at his phone (well, this is pretty common nowadays) when he first visited the clinic.
He is at his 30s, was divorced and is now in a new relationship. He started lying since young, and over time it became a habit, he started to lose control, and lies even when he really doesn’t have to, when he and no-one else gets any benefits from the lies. He just has to lie, he can’t help it.
At this point of his life he realised it’s problematic, he’s having frequent rows with his current girl friend (though the end of his first marriage had nothing to do with his pathological lying). The lies he’s telling is definitely affecting many aspects of his life, relationships, works, family, …
Do you think others can help him? Counselling? Psychotherapy? Medicine?
If he can come to seek help, being honest with the clinician and throughout the treatment process, then does he still need treatment? Well, he can behaves and talks honestly, why still come for treatment? If he can’t be honest, then how are we going to help him?
Perhaps for many pathological liars they don’t care about upsetting others due to their lies, but if this carries on in their lives, will they eventually start living in their little worlds, having some levels of delusions about their lives, and become paranoid, delusional, even schizophrenic …?