Personality Disorders focuses on durable, skills-based care for patterns that strain safety, relationships, and treatment continuity across settings. Begin with formulation, not labels: define core vulnerabilities (emotion sensitivity, threat bias, abandonment fear, shame/identity diffusion), learned survival strategies (avoidance, aggression, perfectionism, substances), and situational triggers (sleep loss, conflict, transitions). Use collaborative, stigma-free language that separates the person from patterns; make goals concrete—fewer crises, steadier sleep, school/work continuity, safer relationships—and select a primary modality that fits access and preference: DBT (standard, skills-only, or DBT-informed), MBT, schema therapy, or STEPPS-style skills groups. Because co-occurring SUD, mood, anxiety, PTSD, and eating-disorder symptoms are common, integrate care rather than serializing it; skills generalize best when practiced where life happens—home, school, work, and community. If you’re designing tracks at a personality disorders conference, this page provides clinic-ready playbooks: brief assessment templates, safety and crisis plans, skills group outlines, and supervision rhythms that keep teams aligned and well. Equity is a prerequisite—interpreters, low-literacy materials, evening/tele options, and transport help—so engagement survives the hard weeks. Measurement-based care matters: track urges, self-harm, ED visits, sleep, function, and relationship stability; set thresholds that trigger phone coaching, extra skills sessions, or step-up care without shame. Finally, honor hope with realism: change is iterative; when skills are reinforced by peers, family, and work/school partners, identity consolidates and life expands.