Many elements related to personality have been extensively described in psychological, psychiatric, and sports performance literature. Certain personality traits have been positively linked with athletic performance, success, and relationships in high performance athletes. Personality disorders have the potential to cause distress and impairment in relationships and function, and thus can create disruptions and disturbances in the sport environment. The external presentation of a personality disorder disturbance is often characterized as disruptive behavior. Personality disorders can cause disruptions in the sport setting if the manifestations of the individual’s challenges negatively influence interpersonal relationships, emotional regulation, interpretations, and behavior. Disruptive behavior is sometimes tolerated if it is perpetrated by an individual who is deemed to be integral to the team’s success. Most sport personnel and settings are not equipped to manage disruptive behaviors, particularly those that are intense and present safety concerns. It is important to have qualified mental health personnel on the integrated/multidisciplinary support team to help the athlete and team personnel understand the behaviors and create support plans for de-escalation and safety.