Clients Who Lie Honestly: Treatment Strategies & Special Considerations
A client tells you something you know is not true. Not shaded, not exaggerated, not a version of events that flatters them. Not true. They say it with complete conviction, and when you gently put the evidence in front of them, they hold the account more firmly than before.
That last part is the tell. Confabulation is false memory produced with no intent to deceive, which makes it neither lying nor malingering, and the two responses clinicians reach for first, correcting and confronting, tend to entrench it. Jerrod Brown’s point is that most of us have had very little training in this, despite working every week with the populations where it is most common: acquired brain injury, dementia, fetal alcohol spectrum disorder, schizophrenia, and anyone carrying significant executive function impairment.
Two hours on what confabulation is and the forms it takes, the difference between the spontaneous kind and the kind your own questioning produces, the red flags to listen for during an assessment, and the territory that sits alongside it: suggestibility, gullibility, compliance and acquiescence. Brown is direct about the consequences, which are a treatment plan built on inaccurate information, a family who have decided their relative is lying to them, and in some settings a client whose account of events will not hold up.
You’ll walk away with
- A working distinction between confabulation, ordinary misremembering, malingering and delusion, and why each of the four calls for a different response from you
- Red flag indicators to listen for during an assessment interview, including what a client does when you correct them
- An understanding of how your own questioning provokes confabulation, and what to change about rapid-fire, closed and repeated questions
- The fact-checking habit that protects you when a client has a yes bias, or nods along without having followed what you said
- A named observation scale for confabulation, and the standard screening tool for alexithymia
- A clear view of the populations most at risk, and why fetal alcohol spectrum disorder in particular is so often missed
- Language for the family who have concluded their relative is lying to them, and are treating them accordingly
- The vulnerabilities that travel alongside confabulation, including gullibility, naivety and compliance, and what they mean for a client’s safety outside your room
- The interviewing adjustments that reduce it: pacing, visual supports, lowering working memory load and watching for sensory overload
- A sense of when to refer on to a neuropsychologist, neurologist or sensory specialist, and what you are asking them to rule out
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CPD Information For Mental Health Professionals
Enjoy complete flexibility with 100% self-paced learning you can access anytime, anywhere, and on any device. This course is included with your Tatra Training membership, along with every other course in the library.
Course Duration: 2 learning hours
Certificate and CPD hours: On completion you’ll receive a Certificate of Completion to support your CPD records. Your certificates are yours to keep.
Assessment: Complete a short quiz at the end (80% pass mark), which you can resit as many times as needed.
Revisit Anytime: Come back to the course as often as you like while your membership is active, whenever you want a refresher for practice.
CPD Eligibility: This program may be suitable for CPD for professionals such as:
- Psychologists
- Counsellors and Psychotherapists
- Social Workers
- Community Workers
- Mental Health Nurses
- General Practitioners (GPs)
- Occupational Therapists
CPD requirements vary between professional bodies, so please check with your association or credentialing body to confirm you can claim CPD hours/OPD points for this program and what evidence they require.
This training equips participants with the clinical knowledge and practical tools needed to:
- Understand and define confabulation, including its presentation in mental health treatment.
- Identify risk factors for confabulation at both the individual and environmental levels.
- Analyze the consequences of confabulation within mental health care settings.
- Explore implications for assessment and treatment strategies.
- Examine cutting-edge research on confabulation and discuss future research directions.
Target Audience
This course is tailored for mental health counselors, psychologists, social workers, drug and alcohol counselors, marriage and family therapists, telehealth treatment professionals, and other clinical mental health practitioners.
Course Content
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This course includes:
- Lessons 3
- Topics 0
- Duration 2 hours
- Quizzes 1
- Language English