Step 1: First we have to write polynomials in descending order.
$$ \begin{aligned} P(x) &= 2x^3+6x^2 \\ Q(x) &= -6x^3-x^2-3x \\ \end{aligned} $$Step 2: Write second polynomial below the first one. Making sure like terms are lined up.
$$ \begin{array}{lrrr} & 2x^3 & 6x^2 & \\ \color{red}{ - } & -6x^3 & -x^2 & -3x \\ \hline \end{array} $$Step 3: Change ALL the signs in the second row.
$$ \begin{array}{lrrr} & 2x^3 & 6x^2 & \\ \color{red}{ - } & 6x^3 & x^2 & 3x \\ \hline \end{array} $$Step 4: Combine like terms (add each column):
$$ \begin{array}{lrrr} & 2x^3 & 6x^2 & \\ \color{red}{ - } & 6x^3 & x^2 & 3x \\ \hline & -4x^3 & 5x^2 & -3x \end{array} $$