A relationship is like a tall, leafy tree. A tree requires a system of healthy roots to nourish and anchor the tree. As the roots grow, the tree also grows bigger, stronger, and more developed–they may even produce fruit! Like the tree, your relationships with others also have roots. In order to grow a healthy relationship, the roots must be healthy, as well. Dialectical behavioral therapy (DBT) provides specific skills to grow strong roots and build or maintain healthier relationships, including relationship effectiveness. You can easily remember these skills by their acronyms: THINK, FAST, GIVE, and DEAR MAN.

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What is Interpersonal Effectiveness in DBT?

Interpersonal Effectiveness in Dialectical Behavior Therapy (DBT) refers to a set of skills that can help teens and young adults navigate their relationships in a more effective, balanced, and respectful manner.

At Sunrise, we emphasize these skills as crucial components of our residential treatment centers, particularly for teens struggling with emotional regulation and interpersonal difficulties.

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What are the Goals of Interpersonal Effectiveness Skills in DBT?

The goals of DBT‘s interpersonal effectiveness skills are to build and maintain positive relationships. These skills are often natural in people who have experienced healthy relationships throughout their lives. DBT has dissected these traits and formed them into four concrete skills. Mastering these skills can be helpful for anyone, but especially for teens or young adults who have experienced trauma or struggle with an attachment disorder.

“A relationship is like a tall, leafy tree. A tree requires a system of healthy roots to nourish and anchor the tree. As the roots grow, the tree also grows bigger, stronger, and more developed… Like the tree, your relationships with others also have roots. In order to grow a healthy relationship, the roots must be healthy, as well.”

How Can DBT Interpersonal Effectiveness Skills Help Teens?

DBT interpersonal effectiveness skills, encapsulated in the acronyms THINK, FAST, GIVE, and DEAR MAN, serve as pillars for helping teens build nurturing, healthy relationships. These skills act as tools for teens and young adults to enhance communication, set boundaries, and advocate for themselves effectively.

Improved Communication

Interpersonal Effectiveness teaches teens how to communicate their thoughts and feelings clearly and respectfully. By learning to express themselves effectively, teens can reduce misunderstandings and build stronger, more positive relationships with family, friends, and peers.

  • Active Listening– Active listening helps teens to fully concentrate on what the other person is saying, understand their perspective, and respond thoughtfully.
  • Conflict Resolution– Conflict resolution helps teens learn to navigate conflicts in a constructive manner, focusing on finding solutions rather than escalating tensions.
  • Assertive Communication– Assertive communication helps teens express their needs, thoughts, and feelings in a direct yet respectful manner.

Boundary Setting

Teaching teens how to establish personal boundaries and recognize others’ boundaries, can help promote mutual respect and prevent conflicts from arising in interpersonal relationships

Increased Self Respect

Interpersonal DBT skills can help teens learn to make choices that align with their values and self-worth, leading to stronger self-esteem and the ability to stand up for themselves in difficult situations.

Reduced Stress

Using interpersonal skills can help teens navigate their relationships with greater ease, leading to reduced anxiety and emotional strain.

Increased Empathy

Interpersonal skills can increase empathy and help teens understand how to understand and share the feelings of others.

Emotional Intelligence

Teens using DBT skills to build interpersonal skills can improve their emotional intelligence by learning how to recognize and understand their emotions and the emotions of others.

What DBT Skills Can Improve Interpersonal Effectiveness in Teens?

The interpersonal skills that can help teens improve their interpersonal effectiveness include THINK, FAST, GIVE, and DEAR MAN.

THINK

1. THINK is a newer DBT interpersonal effectiveness skill. The THINK acronym for DBT skills stands for Think, Have Empathy, Notice, Kindness. It was developed to reduce negative emotions toward others. You won’t need to use this skill in every interaction, but it will be helpful when interpersonal problems arise and you’re feeling upset.

Teen girl using the THINK DBT skill to improve interpersonal effectiveness.

2. Think — about the situation from the other person’s perspective. Are they angry, too? Are they viewing you as unreasonable, just like you’re viewing them as unreasonable?

3. Have empathy — What does it feel like to be the other person? Let yourself feel their emotions for a moment.

4. Interpretations — of the other person’s behavior. Think about possible reasons why they did the thing that upset you. Start with outlandish reasons (to open your mind) and move toward more realistic reasons.

“They were raised in a lab and don’t have a heart → They weren’t raised in the lab, but they work for the lab and are doing tests on how mean they can be and get away with it → Their hamster died this morning and they are masking their sadness with meanness → They struggle with depression and just had a snap that caused them to be rude → They are just human and got frustrated and didn’t manage it well. We all make mistakes.”

Hopefully, these first three steps will bring your anger level down enough to be more rational in your thoughts and actions. That will help you with the following two steps.

5. Notice — the other person. Notice when they are trying to be kind and improve the relationship. Notice that they look scared, even though you thought they were mad. Notice that they smiled at you, even though you may not be on good terms yet. You don’t have to do anything about it just yet, simply take note.

6. Kindness — in your response. This doesn’t mean you have to forgive and forget immediately. This simply means that your words are kind. You may say, “What you said to me hurt, and I hope we can fix this in the future. Right now I need some space.” A kind response will be better for the long-term relationship than name-calling and yelling.

The acronym THINK could be considered an interpersonal distress tolerance skill. Once you’re in a place where you feel able to manage your emotions toward the other person, you’ll be able to successfully use the next interpersonal effectiveness skills.

FAST

FAST is about maintaining your self-respect during conflict. The fast acronym for DBT skills stands for Fair, (no) Apologies, Stick to Your Values, Truthful. You’ll want to use these skills first in sequential order, and then all together.

Teen boy at Sunrise RTC using FAST DBT skill to improve interpersonal effectiveness with therapist.

1. Fair — to yourself and others. This includes both your thoughts and your actions. When you’re being fair, you are not using dramatic or judgmental thoughts or statements such as “I’m powerless in this situation” or “They’re the worst!” Instead, your thoughts may be along the lines of, “What’s going on for that person, and what’s going on for me?” or “I didn’t agree with most of what he just said, but what were the elements of truth?”

2. (no) Apologies — this doesn’t mean you never apologize–apologizing can be incredibly powerful in relationships. However, you don’t need to apologize when you haven’t done anything wrong.

3. Stick to your values — Stand up for what you believe in. If you’re not sure what you believe in, do some self-examination to determine your values. Be honest about what you value. If you say you value family but you avoid them at all costs, then you’re not valuing family. You may want to make a list of your current values, and what you hope your values will be in the future.

4. Truthful — be honest with yourself and others. Are you exaggerating the situation? Are you minimizing it? Are your words true?

Using the four steps of FAST will allow you to maintain your dignity and come out of a situation feeling good about yourself, regardless of how you feel about the outcome.

While THINK and FAST can be used in all interpersonal communication, they are especially helpful when there is conflict in the relationship. For everyday interpersonal communication, you can use the skills GIVE and DEAR MAN to grow a healthy relationship.

GIVE

The GIVE skill is useful in every interpersonal relationship. The Give acronym for DBT skills stands for Gentle, Interested, Validate, Easy Manner. Whether it’s your first time meeting this person or you’ve been married for 45 years, GIVE will help to build and maintain positive relationships.

1. Gentle — in your approach. When you’re gentle, you are being mindful of the other person’s emotions. This will help the person with whom you’re communicating to feel loved instead of attacked. Communication is always better when no one is feeling defensive.

Teen girls, boys, and LGBTQ+ youths celebrating after a good DBT skills therapy group that improved interpersonal effectiveness.

2. Interested — in what the other person is saying. Interest can be conveyed through words and/or body language. Using words, you can ask the person questions about what they are saying or simple “uh-huh” “oh really?” responses. You can convey interest through body language by maintaining eye contact, actually listening to what is being said, and making a facial expression.

3. Validate — Confirm not only that you hear what the other person is saying, but that you understand it by echoing the emotion back to them. If they are telling you that their friend canceled their lunch date for the third time in a row, you might say “How frustrating! You must feel so disappointed!”

4. Easy manner — present yourself as being relaxed and comfortable throughout the interaction. You will be more approachable.

Both verbal and nonverbal communication is essential in the GIVE skill. These actions will set you up for effective interpersonal communication in each of your relationships.

DEAR MAN

DEAR MAN is the interpersonal skill used to ask for something in a respectful and effective way that builds and maintains a relationship–whether or not you actually get what you are asking for. The Dear Man DBT skill stands for Describe, Express, Assert, Reinforce, Mindful, Appear Confident, Negotiate.

1. Describe — the situation in a simple way. If you want to go to the movies with your friends, you could briefly describe the situation by saying, “My friends are going to see the new comic book movie this weekend.”

2. Express — what you would like. “I would like to go to the movie with them.”

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3. Assert — why this is important to you in a way that is respectful, and not aggressive. “I haven’t been able to spend much time with them since track season started, so it would be really meaningful if I could spend time with them.”

4. Reinforce — when you do get what you asked for. “I promise I’ll have my room clean and my homework is done before I leave for the movie.”

5. Mindful — Stay in that moment. Don’t worry about the past or future, such as what your friends will say if you can’t go. Just be in that moment.

6. Appear Confident — are you scared out of your mind to ask your boss for a raise? They don’t need to know that. Approach the situation in a confident way.

7. Negotiate — when it doesn’t look like you’re going to get the result you want, be flexible. Negotiate to find a happy middle ground for both parties.

DBT Skills Can Improve Teen Interpersonal Skills

Many adolescents don’t ask for something but rather make demands, ask in a wavering way that is confusing, or don’t ask at all and do what they want. Interpersonal effectiveness skills, including effective communication skills and conflict resolution, are not only helpful for those struggling with borderline personality disorder and attachment issues, but for anyone who wants to strengthen their relationships with those around them. These skills can improve teen’s ability to resolve disagreements and express themselves assertively, leading to healthier relationships.

DBT interpersonal effectiveness skills are valuable tools for building and maintaining healthier relationships. Mastering these skills can improve communication, conflict resolution, and overall well-being. If you’re looking to improve your family communication and build healthier relationships, we encourage you to reach out.

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Sunrise Can Help Teens Learn Interpersonal Skills

At Sunrise RTC, we specialize in helping teens develop essential interpersonal skills that are crucial for their emotional and social well-being. Through our comprehensive therapeutic programs, including Dialectical Behavior Therapy (DBT), we teach teens how to communicate effectively, resolve conflicts, set healthy boundaries, and build strong, respectful relationships.