Can someone help me dissolve this, and give insight into how to proceed with someone who says this?
What are they saying, exactly? That the set of beliefs in their head that they use to make decisions is not the same set of beliefs that you use to make decisions?
Could I say something like "Yes, that's so, but how do you know that your truth matches what is in the real world? Is there some way to know that your truth isn't only true for you, and not actually true for everybody?"
I'm trying to get a feel for what they mean by "true" in this case, since it's obviously not "matching reality."
Depends on the context, obviously, but my first interpretation would be "My values are not your values". In popular usage "truth" means more than empirically proven facts about the objective reality -- e.g. people routinely call "truth" what they believe not only in the descriptive but also in the normative sense.
I would recommend making clear two separations: between descriptive ("US economic growth has been slow recently") and normative ("We need to accelerate the US economic growth"); and between facts ("The US GDP grew by 2.4% in 2015"), preferences("Fighting inequality is more important than gross economic growth"), and forecasts, often conditional ("We can accelerate the economic growth by cutting taxes").