Group therapy for personality dysfunction is probably the second most used. Psychological-education may be used as an addition. Self-help groups may provide resources for personality disorders. Psychiatric medications for treating symptoms of personality dysfunction or co-occurring conditions. Milieu therapy, a kind of group-based residential approach, has a history of use in treating personality disorders, including therapeutic communities. The practice of mindfulness that includes developing the ability to be nonjudgmentally aware of unpleasant emotions appears to be a promising clinical tool for managing different types of personality disorders.There are different specific theories or schools of therapy within many of these modalities. They may, for example, emphasize psychodynamic techniques, or cognitive or behavioral techniques. In clinical practice, many therapists use an eclectic approach, taking elements of different schools as and when they seem to fit to an individual client. There is also often a focus on common themes that seem to be beneficial regardless of techniques, including attributes of the therapist (e.g. trustworthiness, competence, caring), processes afforded to the client (e.g. ability to express and confide difficulties and emotions), and the match between the two (e.g. aiming for mutual respect, trust and boundaries). Challenges
The management and treatment of personality disorders can be a challenging and controversial area, for by definition the difficulties have been enduring and affect multiple areas of functioning. This often involves interpersonal issues, and there can be difficulties in seeking and obtaining help from organizations in the first place, as well as with establishing and maintaining a specific therapeutic relationship.
They were dropped in the DSM-IV, though a proposed depressive personality disorder was added; in addition, the official diagnosis of passive–aggressive personality disorder was dropped, tentatively renamed negativistic personality disorder.International differences have been noted in how attitudes have developed towards the diagnosis of personality disorder. Kurt Schneider argued they were abnormal varieties of psychic life and therefore not necessarily the domain of psychiatry, a view said to still have influence in Germany today. British psychiatrists have also been reluctant to address such disorders or consider them on par with other mental disorders, which has been attributed partly to resource pressures within the National Health Service, as well as to negative medical attitudes towards behaviors associated with personality disorders. In the US, the prevailing healthcare system and psychanalytic tradition has been said to provide a rationale for private therapists to diagnose some personality disorders more broadly and provide ongoing treatment for them. See also
Depressive personality disorder
Borderline personality disorder

References
Further reading
Marshall, W. & Serin, R. (1997) Personality Disorders. In Sm.M. Turner & R. Hersen (Eds.) Adult Psychopathology and Diagnosis. New York: Wiley. 508–41
Murphy, N. & McVey, D. (2010) Treating Severe Personality Disorder: Creating Robust Services for Clients with Complex Mental Health Needs. London: Routledge
Millon, Theodore (and Roger D. Davis, contributor) – Disorders of Personality: DSM IV and Beyond – 2nd ed. – New York, John Wiley and Sons, 1995 ISBN 0-471-01186-X
Yudofsky, Stuart C. (2005). Fatal Flaws: Navigating Destructive Relationships With People With Disorders of Personality and Character (1st ed.). Washington, DC. ISBN 978-1-58562-214-6.