I have a patient with ASPD who admits to lying to get what they want (from people in their lives, court, medical providers). This has been very effective for them and it’s not something they want to change. I haven’t worked with this kind of presentation before. Is this something to target? And if so, do you have any suggestions given they see it as an asset? And if not, do you have some suggestions for how to approach it when they bring it up? I don’t want to feel complicit or like I am condoning their behavior, but I don’t know if it would be effective to target it.
I’m thinking of approaching it by sharing how it makes me feel uncomfortable to hear it and makes me question the trust in our relationship. Would love your thoughts.
I’m thinking of approaching it by sharing how it makes me feel uncomfortable to hear it and makes me question the trust in our relationship. Would love your thoughts.