DBT Interpersonal Effectiveness Skills Worksheet example
Page 1 of 2

Download the worksheet (PDF)

What is the DBT Interpersonal Effectiveness Skills worksheet?

The DBT Interpersonal Effectiveness Skills worksheet lays out three acronyms over two pages. D.E.A.R. M.A.N. covers objective effectiveness, G.I.V.E. covers relationship effectiveness, and F.A.S.T. covers self-respect. Every letter carries one instruction, such as Reinforce the positives or the potential benefits for the other person.

How to use the DBT Interpersonal Effectiveness Skills worksheet

Use this sheet both in session and as homework. Start with Identifying Priorities: name what the client wants from one specific interaction before choosing an acronym. D.E.A.R. M.A.N. suits a request or a refusal; G.I.V.E. suits a conversation where the relationship matters most. Clients often skip Negotiate, so rehearse it aloud. Your clients can run F.A.S.T. against a recent interaction where they gave ground to keep the peace.

DBT Interpersonal Effectiveness Skills Worksheet Download – What’s Included

The download is a two-page printable PDF, not fillable. Page one holds D.E.A.R. M.A.N. with a short paragraph on objective effectiveness under Identifying Priorities. Page two holds Relationship Effectiveness (G.I.V.E.) and Self-Respect Effectiveness (F.A.S.T.), each with its own framing paragraph. It carries no blank response lines.

Based on DBT skills developed by Marsha Linehan. Linehan, M. M. (2014). DBT Skills Training Manual (2nd ed.). Guilford Press.

Frequently asked questions

Used this worksheet in a session?
Mentalyc writes the note for you, including the homework you assigned.
Record or upload the session and get a compliant progress note, treatment plan, and client summary in minutes. More time for the clinical work these worksheets support, less time on paperwork after hours.
Watch real stories from Mentalyc users
HIPAA Compliant, PHIPA, SOC 2 Type II
4.8/5 rating, trusted by 30,000+ therapists
Try Mentalyc for Free
Your Author

Tracy Collins is a licensed clinical psychologist with over six years of direct clinical experience in outpatient and telehealth settings. She specializes in cognitive behavioral therapy, structured treatment planning, and measurable therapy outcomes. Tracy has extensive experience writing SOAP and DAP notes, developing insurance-compliant treatment plans, and aligning documentation with ICD-10 and DSM-5-TR diagnostic criteria. Her clinical approach integrates cognitive behavioral therapy techniques, behavioral activation, exposure-based interventions, and mindfulness-based strategies to create structured and outcome-driven therapy plans. At Mentalyc, Tracy supports therapists by creating educational resources that simplify documentation workflows and improve treatment plan defensibility during audits.

Why other mental health professionals love Mentalyc
Dominique Walker
“If I were recommending this software to a colleague, I would tell them that it is the best thing that they could do for their practice.
Dominique Walker
Licensed Professional Counselor
Kara-Myung Jin Purves
“It immediately changed my quality of life, personally and professionally.
Kara-Myung Jin Purves
Owner/Independently Licensed Marriage & Family Therapist (LMFT)
Stanley LeMelle 
“Do yourself a favor, make your life easier. I found Mentalyc to be one of the best tools that I’ve ever used.
Stanley LeMelle 
Licensed Marriage and Family Therapist
Amber McKinney
“For anyone hesitant: this is a lifesaver. It will change your life, and you have more time to be present with your patients.
Amber McKinney
Licensed Clinical Social Worker
Free PDF worksheet · 2 pages
Download
Print
No sign-up. No PHI collected.

4.8 on Capterra · 30k+ clinicians

Love these worksheets?

Mentalyc handles the notes and treatment plans too.

Try Mentalyc free

no card · works with your EHR · HIPAA