A clear, clinically grounded approach to using CBT with clients who have personality disorders or entrenched personality traits. The material walks through cognitive conceptualization, core beliefs, coping strategies, and common therapy ruptures, showing how moment-to-moment interactions in session reflect deeper belief systems. Case examples demonstrate how structure, collaboration, and recovery-oriented principles support engagement, strengthen the therapeutic relationship, and help clients loosen rigid patterns while building more adaptive ways of relating to themselves and others.