Frequent lying soon becomes a "risky tactic" says Cooper, as there's the possibility of being exposed.
This latent threat changes how we relate to each over.
Even when a lie is not discovered, the deception forces us to interact at more a superficial level.
Conversations become thinner and more guarded, because detail becomes dangerous.
Over time, that self-censorship can be deeply isolating.
"Lying is really lonely," Cooper explains. "You are creating a solo reality and you are out on a little planet by yourself."
While lies can make the moment feel easier, they often make what comes next harder. The emotional cost is what psychologists call cognitive burden.
"We think about surviving that immediate moment and then you don't think about what happens after this," the doctor says.
Maintaining a false story requires constant mental effort: remembering what was said, to whom, and when which can be "a lot to carry".