What’s Serving Integrity Here? And Can I Live with the Cost?
- Sarah Ryan
- Aug 16
- 3 min read
Updated: Aug 31

I’ve been thinking about honesty, specifically: is it possible to be psychologically healthy and knowingly not tell the truth? It’s a dilemma that arises surprisingly often in therapy.
The journey toward greater coherence and authenticity, as we navigate relationships, work, and the wider world, begins inside. It starts with a gradual unmasking - a willingness to risk being real. Over time, this effort becomes routine: a realignment, an integration into a deeper sense of conscious wholeness.
When seeing or accepting reality isn’t yet possible, the psyche defends itself - through denial, repression, or other unconscious strategies - trying to shield the self from what might feel unbearable. These defenses are necessary at times, protecting against pain that would otherwise fracture the self.
In psychotherapy, clients often reach a point where truths can be held internally, without splitting. From here, greater alignment and coherence can take root, and the locus of evaluation shifts inward. This internal authority - what some might call self-actualization or individuation - brings a sharper clarity. Once you see the truth, in yourself or in the world, you can’t unsee it. With this internal alignment comes a continual question: how do you engage with the world and others while maintaining your own coherence and integrity? Sometimes that clarity itself risks rupture in relationships.
In therapy, part of the work is to locate the point where adaptation becomes collusion with mistruth, and to find ways to protect inner coherence while moving through environments that may prize expedience, advantage, or strategic concealment - where others may even prefer you not to see so clearly.
Integrity, in its original engineering sense, describes the strength of a structure - its ability to hold together under stress without crack or fracture. Applied to the self, it means no split between what is known, felt, and enacted.
That doesn’t require full disclosure in every context, but it does require that no false self steers the ship. As alignment deepens, old patterns - softening the truth, avoiding certain topics, presenting a partial version of yourself - may begin to feel like small breaks in integrity. Psychological growth changes our perception. Strategies that once seemed protective or necessary can, with real authenticity, start to register as tiny fractures in your sense of wholeness and self-respect.
So is it possible to remain psychologically healthy if you’re not telling the truth? And if coherence depends on alignment between inner and outer, can that integrity really be sustained in one area of life but not another?
In business and negotiation, similar dynamics appear. The phrase “it’s not personal, it’s business” creates a space for withholding, strategic positioning, posturing. These moves might protect against genuine risk, but over time, they can also create a split between the inner and outer self.
Whether in business, in relationships, or anywhere truth might risk discomfort or rupture, the challenge persists: how do you speak with integrity and stay in relationship - with your true self and with others? When it’s clear you cannot hold both at once, how do you navigate these thresholds honourably? One guide, drawn from older wisdom traditions, is a threefold filter: ask if it is true, if it is necessary, and if it is kind.
But kindness here is not comfort. It can mean serving another’s deeper wellbeing, even when it disrupts. It can also mean caring for your own integrity - recognising when withholding becomes an abandonment of self. Sometimes, those forms of kindness - to another, to the relationship, and to yourself - point in different directions.
So the work isn’t about keeping truth and connection intact in every case, but about deciding which must take priority in the moment. Sometimes connection can hold the truth; sometimes truth will break the connection. Then the question becomes: what serves integrity here, and can I live with the cost?
The therapeutic space can hold all of this - the cost of disclosure, the weight of silence, the shifting thresholds of safety - without rushing to resolve them. It is a place to keep returning to the essential inquiry: how to remain coherent in a world that often isn’t, and to meet each situation from the most integrated self possible.

