system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
What is the most common reason that psychotherapy for personality disorders is so difficult to carry out successfully?
assistant
The correct answer is  Personality disorders are ego syntonic so the patients are usually unaware of their maladaptive traits and would in fact deny having problems and blame others.