Foreword, Aaron T. Beck 1. Identifying Problems in Treatment 2. Conceptualizing Patients Who Present Challenges 3. When a Personality Disorder Challenges Treatment 4. Developing and Using the Therapeutic Alliance 5. Therapeutic Relationship Problems: Case Examples 6. When Therapists Have Dysfunctional Reactions to Patients 7. Challenges in Setting Goals 8. Challenges in Structuring the Session 9. Challenges in Solving Problems and in Homework 10. Challenges in Identifying Cognitions 11. Challenges in Modifying Thoughts and Images 12. Challenges in Modifying Assumptions 13. Challenges in Modifying Core Beliefs Appendix A: Resources, Training, and Supervision in Cognitive Therapy Appendix B: Personality Belief Questionnaire