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When first meeting with a patient, we always begin with comprehensive assessment. Described further in Part 1 of this chapter, assessment entails characterizing the patient’s presenting symptoms and pathological personality traits, general personality functioning, level of personality organization, and DSM-5 (American Psychiatric Association 2013) diagnoses, if applicable. The clinical diagnostic interview can be complemented by introduction of structured questionnaires inquiring about symptoms and maladaptive personality traits. In addition, the Structured Interview of Personality Organization—Revised (STIPO-R; Clarkin et al. 2016) can be integrated into clinical assessment to enhance evaluation of personality organization. A comprehensive assessment, including DSM-5 and structural diagnoses, paves the way for treatment planning.
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