I, too, wonder about children that frequently tell make-believe 'stories' that are told convincingly. I often wonder if the child knows the difference between fantasy and reality. Is fantasy the same as imagination?

I am also concerned that these same children often have difficulty with peer relations and are socially 'at risk'. The issue of trust comes into play because it is difficult to become friends with someone who cannot be trusted to tell the truth.

I would remind the parents that what is 'cute' at five is not so 'cute' at eight.