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DEAR MAN Assertive Communication Worksheet (DBT)

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This DEAR MAN DBT worksheet helps clients practice assertive communication using clear, step-by-step fill-in-the-blank prompts. It supports clients in asking for what they need, setting boundaries, and staying regulated during difficult conversations—without becoming passive or aggressive.


The worksheet guides clients through the full DEAR MAN interpersonal effectiveness skill:

  • Describe the situation using facts only
  • Express emotions and impact
  • Assert a clear request or boundary
  • Reinforce how the request benefits the relationship
  • Mindful communication to stay on topic
  • Appear Confident in tone and body language
  • Negotiate when appropriate without giving up core needs


This resource is well-suited for individual therapy, DBT skills groups, school counseling, substance use recovery groups, and relationship-focused work. It is appropriate for teens, young adults, and adults, and works well for in-session practice, role-play, or take-home assignments.


What’s included:

One printable DEAR MAN fill-in-the-blank worksheet (PDF). The layout is simple, black-and-white for easy printing and repeated use.


Format:

Printable PDF

Instant digital download

You will get a PDF (37KB) file