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Dr. Rossi
Dr. Rossi, Psychotherapist
Category: Mental Health
Satisfied Customers: 4627
Experience:  PsyD, LPC, CHt
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when a person (a young girl of 20) tells lies such as friend

Resolved Question:

when a person (a young girl of 20) tells lies such as friend dying in car accident or that they have severe heart problems and believes them to be true even though we know its not, is that a sign of bipolar or any other mental health issue
Submitted: 2 years ago.
Category: Mental Health
Expert:  Dr. Rossi replied 2 years ago.

Dr. Rossi :

Good Morning,

Dr. Rossi :

How long has the behavior been going on? Are there other symptoms/unusual for her behaviors present?

Dr. Rossi :

Bipolar disorder is a depressive disorder where a person has periods of depression followed by periods of manic behavior/mania/hypomania

Dr. Rossi :

If she believes these lies/stories she's telling, it may be an indication of a delusional disorder

Dr. Rossi :

If there are other symptoms i.e. severe depression, it may be a psychotic episode.

Dr. Rossi :

If she is manice, it could be due to the manic phase.

Dr. Rossi :

Manic

Customer:
Dr. Rossi :

Delusional disorder consists of symptoms of non-bizarre delusions

Customer:

apparantly this has been happening for a while, she very sociable but on times really hyper in the way she talks

Dr. Rossi :

Is there a history of mentall illness in her family?

Customer:
Dr. Rossi :

Delusions can also manifest in those with schizophrenia. This condition is often diagnosed in someone's early 20's

Customer:

her mum has been told she has mild bipolar


 

Dr. Rossi :

Each mental illness consists of multiple symptoms in order to either confrim or rule out a disorder. If this woman has had episodes of depressed mood and then manic episodes, bipolar disorder may be the cause. Or, at least cyclothymia w/ rapid cycling.

Dr. Rossi :

These are just speculation because a complete face to face eval is the only way to come up w/ a diganosis.

Customer:

although we know she is lying she does not realise we know so how do we tackle it


 

Dr. Rossi :

Another possibility could be traits of schizotypal disorder or even due to drug use

Dr. Rossi :

If she does not seem to understand that she's lying, then you would want to ask her for some kind of facts or present her with tangible info to the opposite of what she's saying

Dr. Rossi :

you'd want to monitor her for other symptoms or changes in her mood

Dr. Rossi :

Determine how her lies are affecting her emotionally i.e. is she sad, indifferent, angry, etc.

Dr. Rossi :

It may be helpful to ask her if she is feeling unhappy/depressed and find out if she would be willing to speak to someone in order to feel better (at least to have some treatment options presented to her)

Dr. Rossi :

Since you were inquiring " is that a sign of bipolar or any other mental health issue?" Her behavior is not typical if she believes these lies rather than lying for some sort of gain (attention, getting something out of it-opportunistic) It may be helpful for her to see how this behavior is affecting her relationships, work, and other areas of her life.

Customer:

when she lies she cuts herself off from her family,

Customer:

it doesn't seem to be affecting her work or friends just her family especially her dad who cant decide how to tackle her


 

Dr. Rossi :

When someone believes their delusions, arguing w/ them that these are not real is not going to be too helpful. Instead, assisting her in seeing how it is affeting her and those around her may be a better way of addressing this. If she is avoiding her family, at least one person who she's close to would want to speak with her about what is going on. That person can let her know that they care about her and want her to be happy/healthy. What are some of these lies?

Dr. Rossi :

Are these lies that would affect her own family in some way?

Dr. Rossi :

And, is she lying only to her family or her coworkers and friends as well?

Dr. Rossi :

Something to keep in mind is that if there is an underlined mental disorder, its symptoms would manifest in all settings (not only amongst family situations).

Customer:

she lied about being in a car accident which a friend supposidly died but we know it didnt happen yet she had bruises on her face and body


 

Dr. Rossi :

Did she get anything out of this lie?

Dr. Rossi :

Did she expect something?

Dr. Rossi :

Lying in itself when selective is most likely opportunistic. How do you determine that she believes this?

Customer:

she got nothing out of it except total attention


 

Dr. Rossi :

Lying in itself woud not meet criteria for any single mental disorder unless there are other symtoms. You've mentioned her beeing hyper at times. The hyperactivity may be related to a mood disorder ex: bipolar as well as other causes -ADHD, substances/medications, etc.

Dr. Rossi :

Attention is a motivation for many people. Perhaps sympathy as well

Dr. Rossi :

If her father/family know for a fact that she is lying, they may choose to either ignore it or, present her with tangible information to the opposite

Customer:

ok thank you for your help adhd is a possible cause as her brother had it when young but has now grown out of it

Dr. Rossi :

If she is lying to her family only and no one else, the behavior is volitional/premeditated rather than her believing her own lies.

Dr. Rossi :

It is always possible for a person to have ADHD even adults are diagnosed w. it

Dr. Rossi :

But, ADHD is not marked by deceptive behaviors - lying

Dr. Rossi :

You would mainly notice difficulties in concentration, attention span/memory and hyper activity

Dr. Rossi :

The condition is treatable w/ CBT cognitive behavioral therapy or medication both stimulant and non stimulant one

Dr. Rossi :

Delusions are not a symptom of ADHD or ADD

Dr. Rossi :

I'm going by what you're sharing and this is an educated guess about what may be behind her bahavior.

Dr. Rossi :

Generally, a clinician would look for symptoms, secondary gain of the client's behavior, history both hers and that of family members.

Dr. Rossi :

Secondary gain is usually found in what is known as Factitious Disorders.

Customer:

i had an idea it was family related as her mum and dad divorced when she was 10 and she is a typical daddy girl

Dr. Rossi :

The behavior could be for attention as well as gaining sympathy or even punishing others by making them feel sorry for her in some way.

Customer:

yes i think thats exactly what it is, thank you for your help really appreciated


 

Dr. Rossi :

You welcome. Please rate only if fully satisfied as low rating is a negative rating to experts. Thanks

Customer:
Dr. Rossi, Psychotherapist
Category: Mental Health
Satisfied Customers: 4627
Experience: PsyD, LPC, CHt
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  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
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  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
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