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Some of the more extreme forms of pathological lying is Pseudologia Fantastica. This is a matrix of facts & fiction, mixed together in a way that makes the reality and fantasy almost indistinguishable. The pseudologue type pathological liar makes up stories that seem possible on the surface, but over time things start falling apart. Pseudologues have dynamic approach to their lies, they are likely to change the story if confronted or faced with disbelief, they have excessive anxiety of being caught and they desperately try to modify their story to something that would seem plausible to create or preserve a sense of self that is something they wish they were or at least something better than they fear others would find out they are. The excessive anxiety is driven by unusually low self-esteem, the person tries to hide reality by creating a fake reality, and once the story has enduring quality to it, he/she is likely to repeat it and if repeated enough times he/she might start believing in it as well. This reality escape can be triggered of a past incident or of an unbearable present for the pseudologue.
About 30% of daydreaming pathological liars have brain dysfunction. For some it may take the form of learning disabilities, ex. dyslexia. Often those with cerebral dysfunction have greater verbal production & lower developed logical, analytical parts of the brain, thus they often fail to control verbal output.
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