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12/18/2023

6 Reasons People Lie When They Don’t Need To
Understanding the motivations of pathological liars.
Posted January 23, 2017 | Reviewed by Lybi Ma

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KEY POINTS
People may lie because they believe the lie is critically important, even though it may seem inconsequential.
Other reasons for lying include trying to control a situation or to avoid disappointing someone.
Most people usually tell the truth, and it may be helpful to try to understand the motivations behind why someone lies.
Ana Blazic Pavlovic/Shutterstock
Source: Ana Blazic Pavlovic/Shutterstock
Pathological lying isn’t a clinical diagnosis, though it can sometimes be a symptom of other issues, such as a personality disorder or a manic episode. But some people get so accustomed to lying that they do so even when there is no clear purpose, and when their lies are easily disproven, leaving everyone scratching their heads over the point of their deceptions.

Over the years, I’ve worked with a number of these people — so-called pathological or compulsive liars — and gained some insight into the way they think. Believe it or not, their lying makes some sense, when you look at it through their eyes.

1. The lie does matter ... to them. The number one reason people lie when it just doesn’t matter is because they actually do think it matters. While everyone around them thinks it’s an inconsequential issue, the liar believes it is critically important. They may be putting undeserved emphasis or pressure on themselves, or on the issue, but you won’t know unless you ask something like, “It seems like this issue is really important to you — why?”

2. Telling the truth feels like giving up control. Often, people tell lies because they are trying to control a situation and exert influence toward getting the decisions or reactions they want. The truth can be “inconvenient” because it might not conform to their narrative.

3. They don’t want to disappoint you. It may not feel like it to you, but people who tell lie after lie are often worried about losing the respect of those around them. They want you to like them, be impressed, and value them. And they’re worried that the truth might lead you to reject or shame them.

4. Lies snowball. I remember a cartoon my kids watched years ago about how lies grow. We tell a little bitty lie, but then to cover that lie, we have to tell another one, then another, and another — each gets bigger and bigger. Finally, we’re arguing about the color of the sky, because to admit anything creates the potential of the entire house of cards tumbling. If a chronic liar admits to any single lie, they feel like they’re admitting to being a liar, and then you’ll have reason to distrust them.

5. It’s not a lie to them. When we are under pressure, our thinking about the big picture can be challenged. Our memory of things is actually quite unreliable: Multiple studies demonstrate that our memories are influenced by many things, that they change over time, and that they are essentially reconstructed each time we think about them. Often, repetitive liars feel so much pressure in the moment that their memory becomes simply unreliable. When they say something, it’s often because they genuinely believe, at that moment, that it is the truth. Their memory has been overwhelmed by stress, current events, and their desire to find a way to make this situation work. Sometimes, this can become so severe that the person almost seems to have created a complete alternate world in their head, one that conforms to their moment-by-moment beliefs and needs.

6. They want it to be true. Finally, the liar might want their lie to be true so badly that their desire and needs again overwhelm their instinct to tell the truth. “Be the change you want to see in the world,” Gandhi never actually said. But sometimes, liars hope that they can make something come true by saying it over and over, and by believing it as hard as they can. In today’s environment of “alternative facts,” it’s hard not to see this as somewhat justified.

Wikimedia Commons
Source: Wikimedia Commons
People, by and large, are honest by default. Most people tell the truth most of the time. Our very capacity for language is built on an assumption of honesty — we agree that the words we use mean the same thing consistently, and we don’t use words deceptively because this would render language and the very communication of ideas impossible. Some people lie more than others, but even frequent liars are actually honest most of the time. But it stands out dramatically when their deceptions are so blatant, easily disproven, and seemingly unimportant.

As frustrating as it is when people tell whoppers, we can begin to understand the motivations behind them. Asking the person, “Why is this situation so important to you?” or, “Why do you need me to see this the same way you do?” can be a useful, non-threatening way to get at the foundations of stress and desperation that often underlie deceptions. Don’t ask, “Why are you lying?” We need to remember that the person is often motivated by not being seen as a liar, and this question paints them into a corner.

Of course, understanding a big fibber’s motivations and having empathy in such situations is valuable. But to function effectively in the real world, we also need people to learn to be more honest. Communicating empathy for a person’s desperation can be a valuable tool to give them permission to tell the truth. And then, recognizing and reinforcing when a person does tell the truth is a powerful way to get more truth-telling. It shows people that the truth is not scary, and that the world won’t end when the truth comes out.

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About the Author
David J. Ley Ph.D.
David J. Ley, Ph.D., is a clinical psychologist and the author of Insatiable Wives, Women Who Stray and The Men Who Love Them.

Online: David Ley Ph.D. , Twitter

05/06/2023

The State Of Mental Health In America
Mental Health America (MHA) is committed to promoting mental health as a critical part of overall wellness. We advocate for prevention services for all, early identification and intervention for those at risk, integrated services, care and treatment for those who need them, and recovery as the goal.

We believe that gathering and providing up-to-date data and information about disparities faced by individuals with mental health problems is a tool for change.

FILL OUT THE FORM BELOW TO DOWNLOAD THE PRINTABLE VERSION OF THE REPORT.

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We hope that you will find the information and resources provided in this report are useful for your community.

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2023 Key Findings
In 2019-2020, 20.78% of adults were experiencing a mental illness. That is equivalent to over 50 million Americans.
The vast majority of individuals with a substance use disorder in the U.S. are not receiving treatment. 15.35% of adults had a substance use disorder in the past year. Of them, 93.5% did not receive any form of treatment.
Millions of adults in the U.S. experience serious thoughts of su***de, with the highest rate among multiracial individuals. The percentage of adults reporting serious thoughts of su***de is 4.84%, totaling over 12.1 million individuals. 11% of adults who identified with two or more races reported serious thoughts of su***de in 2020 – 6% higher than the average among all adults.
Over 1 in 10 youth in the U.S. are experiencing depression that is severely impairing their ability to function at school or work, at home, with family, or in their social life. 16.39% of youth (age 12-17) report suffering from at least one major depressive episode (MDE) in the past year. 11.5% of youth (over 2.7 million youth) are experiencing severe major depression.
Over half (54.7%) of adults with a mental illness do not receive treatment, totaling over 28 million individuals. Even in Montana (ranked #1), over 4 in 10 adults with a mental illness did not receive care.
Almost a third (28.2%) of all adults with a mental illness reported that they were not able to receive the treatment they needed. 42% of adults with AMI reported they were unable to receive necessary care because they could not afford it.
10.8% (over 5.5 million) of adults with a mental illness are uninsured. Hispanic adults with AMI were least likely to have health insurance, with 19% reporting they were not covered by insurance.
6.34% of youth in the U.S. reported a substance use disorder in the past year. That is equivalent to over 1.5 million youth in the U.S. who meet the criteria for an illicit drug or alcohol use disorder.
22.87% of adults who report experiencing 14 or more mentally unhealthy days each month were not able to see a doctor due to costs. In Georgia (ranked 51), over one-third of adults experiencing frequent mental distress are unable to afford a doctor’s visit.
59.8% of youth with major depression do not receive any mental health treatment. Asian youth with major depression were least likely to receive specialty mental health care, with 78% reporting they did not receive mental health services in the past year. In South Carolina, the lowest ranking state, nearly 8 in 10 youth with depression do not receive care.
Nationally, only 28% of youth with severe depression receive some consistent treatment (7-25+ visits in a year). Most (57.3%) youth with severe depression do not receive any care.
Nationally, 1 in 10 youth who are covered under private insurance do not have coverage for mental or emotional difficulties – totaling over 1.2 million youth. In Arkansas (ranked 51), nearly one-quarter of youth with private insurance do not have coverage for mental health care.
Only .718 percent of students are identified with emotional disturbance for an individualized education program (IEP). IEPs, with sufficient resources for schools and teachers, are critical for ensuring that youth with disabilities can receive the individualized services, supports, and accommodations to succeed in a school setting.
In the U.S., there are an estimated 350 individuals for every one mental health provider. However, these figures may actually be an overestimate of active mental health professionals, as it may include providers who are no longer practicing or accepting new patients..

Explore the web-based report using the links provided on the left or download the printable report.

The State Of Mental Health In America
In the above links you will find a Collection of Data across all 50 states and the District of Columbia answering the following questions:

How many adults and youth have mental health issues?
How many adults and youth have substance use issues?
How many adults and youth have access to insurance?
How many adults and youth have access to adequate insurance?
How many adults and youth have access to mental health care?
Which states have higher barriers to accessing mental health care?
Our Goal:

To provide a snapshot of mental health status among youth and adults for policy and program planning, analysis, and evaluation;
To track changes in the prevalence of mental health issues and access to mental health care;
To understand how changes in national data reflect the impact of legislation and policies; and.
To increase dialogue and improve outcomes for individuals and families with mental health needs
Why Gather this Information?

Using national survey data allows us to measure a community’s mental health needs, access to care, and outcomes regardless of the differences between the states and their varied mental health policies.
Rankings explore which states are more effective at addressing issues related to mental health and substance use.
Analysis may reveal similarities and differences among states in order to begin assessing how federal and state mental health policies result in more or less access to care.
This publication was made possible by the generous support of Alkermes and Otsuka America Pharmaceutical Companies.

The content of this webpage is the property of Mental Health America. MHA grants a limited license to use the webpage, or portions thereof, only if, whenever the webpage is used in written or electronic form, it is clearly stated that the website was created by and is the property of Mental Health America and a link is provided to www.mhanational.org. Under no circumstances may the website be used for any commercial purpose without the express written permission of Mental Health America. For permission to use the content of this webpage, please contact info@mhanational.org.

THE STATE OF MENTAL HEALTH IN AMERICA
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12/08/2022

Five Ideas for Combating Fatigue When you have Sjogren’s Syndrome

Sjogren’s Syndrome is a chronic autoimmune disorder that causes inflammation in various areas of the body, but most often affects the exocrine glands that produce tears and salvia.

Patients with this disorder often complain of dry eyes and mouth, but unfortunately, there is much more to this disease than dryness. Because it is an autoimmune disorder, the immune system mistakenly attacks the body’s cells and tissues. This causes damage to parts of the body, such as joints, thyroids, kidneys, lungs, skin, and nerves.

In addition to dry tissue and damage to organs, patients also have to fight severe fatigue. This fatigue can be divided into two categories — physical and mental. Studies indicate that Sjogren’s patients experience more physical fatigue than mental fatigue. These patients also report intense daytime sleepiness, an indicator of physical exhaustion. Some who suffer may experience severe symptoms, while others have mild symptoms. Regardless of the varying degrees, patients must be able to manage their symptoms and live a comfortable life. Here are five ideas for combatting the severe fatigue that often accompanies Sjogren’s Syndrome.

Stay hydrated.

Dehydration can contribute to mental and physical fatigue. Make sure you are well-hydrated at all times by drinking adequate amounts of water throughout the day. Track your intake on your phone or in a journal until it becomes a daily habit. You can also eat juicy fruits, water-based vegetables, or drink fruit and veggie-packed smoothies. Not only are they water-rich, but they are full of many healthy vitamins and minerals too! Some ideas of fruits and vegetables to keep you hydrated include:

Watermelon
Cucumber
Strawberries
Spinach
Cantaloupe
Bell peppers
Peaches
Celery
Oranges
Eat well.

Implementing an anti-inflammatory diet is an excellent start in reducing fatigue from Sjogren’s Syndrome. Ensure your diet consists of food with high fiber, healthy fats, and spices such as ginger, garlic, and turmeric. Choose colorful whole fruits and vegetables that contain high amounts of antioxidants, vitamins, and minerals. Create recipes that are focused on lean proteins such as fish, chicken, or turkey. Avoid red meats, processed foods, heavy sugars, and fried foods.

[Read more about eating well while coping with chronic illnesses]

Get physically active.

Light exercise can help in maintaining weight, managing stress, and beating fatigue. Studies show that physical activity can improve strength, diminish fatigue, and reduce pain and depression that accompany most autoimmune rheumatic diseases.

A recent clinical study involving a walking program showed that after 16 weeks, the program significantly “enhanced the cardiorespiratory fitness of patients in the training group, compared with the control group. Furthermore, the reductions in fatigue experienced by those in the training group were significantly associated with improvements in their cardiorespiratory fitness as well as in physical and mental components of their quality of life.”

Get mentally active.

Sjogren’s Syndrome patients often complain of mental fatigue or “brain fog.” Brain fog impairs focus, causes fuzzy concentration, and contributes to difficulty in problem-solving. Keep your stress levels low, and give your brain a workout with crosswords, puzzles, reading, adult coloring books, or online brain games. Focus on challenging your thinking so you can sharpen your focus.

Get adequate amounts of sleep.

Poor sleep and sleep habits are obvious causes of fatigue. However, the pain and dryness that accompany Sjogren’s Syndrome can make it difficult to fall asleep and stay asleep.

Minimize dryness in your throat, eyes, skin, and other organs before heading to bed and use a humidifier if needed. Follow regular bedtime habits every night to promote quality sleep. Establish a nightly routine that lets your body know its bedtime, go to bed and wake up at the same time every morning and night, and ban all electronics. Implementing a consistent routine will help your body develop an internal clock, which will help you sleep longer and better.

While there is not one universal treatment for Sjogren’s Syndrome, doctors at Carolina Arthritis are well trained in lessening symptoms and improving quality of life. At Carolina Arthritis, we believe that it is imperative for our patients to fully understand their diagnosis and be comfortable with the path of treatment we have chosen with them.

If you feel you or a loved one may be suffering from Sjogren’s Syndrome, contact us right away to schedule an appointment.

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