It is rare that personality problems are the chief complaint of a patient presenting for treatment. Instead, difficulties with depression, anxiety, or external situations compel the patient into treatment. Personalitydisordered patients will often see the difficulties they encounter in dealing with other people as generally independent of their own behavior or input. They will frequently describe being victimized by others or, more globally, by “the system.” Such patients are apt to have little idea about how they got to be the way they are, how they contribute to their own problems, or how to change. Other patients are very much aware of the self-defeating elements of their problems (e.g., overdependence, inhibition, and excessive avoidance) but remain unaware of the personality aspects or the role of personal volition in change.