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DBT GIVE Skill: Printable Worksheet, Examples and Script

The DBT GIVE skill in plain words: a printable client worksheet, the six levels of validation, couple, teen and coworker examples, and a role-play script.

Updated 16 min read

The DBT GIVE skill is how a client keeps a relationship in good shape during a hard conversation: be Gentle, act Interested, Validate, and use an Easy manner. Most pages stop at those four words. This one is built to be used. It starts with a printable GIVE worksheet written to your client, with space to plan each letter, and then gives you what the short explainers leave out: the six levels of validation in plain words, when GIVE should lead instead of DEAR MAN or FAST, worked examples with a couple, a teen and parent, and two coworkers, the mistakes clients make most, a role-play script for session, and how to note it.

About this worksheet. GIVE comes from Marsha Linehan's dialectical behavior therapy (DBT). Our explanations are based on her DBT Skills Training Manual, 2nd edition (Guilford Press, 2015), and on her account of validation in psychotherapy (Linehan, 1997). Her handouts and worksheets are copyrighted, and we don't reproduce them. Everything on this page, the worksheet and the script included, is our own wording and layout.

Every client, couple, family and coworker in this article is invented. Any resemblance to a real person is a coincidence.

GIVE at a glance

  • G, (be) Gentle:no attacks, threats or put-downs, in words, tone or face.
  • I, (act) Interested:listen to understand, let the other person finish, and ask about their side.
  • V, Validate:show that their feelings or view make sense from where they stand, without having to agree.
  • E, (use an) Easy manner:keep it light and warm, and invite rather than push.

GIVE belongs to the interpersonal effectiveness module of DBT, next to DEAR MAN, for getting what you ask for, and FAST, for keeping your self-respect. Our DEAR MAN guide covers that skill, the module and the research on DBT skills training, and our DBT skills list has every skill in one place. This page goes deep on GIVE alone.

How to print this page or save it as a PDF

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  • On a phone: open your browser's share menu and choose Print.
  • To keep a PDF: in the print window, choose "Save as PDF" as the printer. You can then send the file to a client or keep it with your handouts.
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GIVE worksheet

Keeping the relationship while you talk: the GIVE skill

Some conversations matter less for what you get out of them than for how the other person feels about you afterward: a talk with a partner, a parent, a close friend, or a coworker you'll sit next to for years. GIVE is four reminders for those talks. Use it when you're asking for something, saying no, working through a disagreement, making up after a fight, or simply listening to someone who's upset.

Plan it here first. A few honest words beat a perfect speech.

Step 1: The conversation

  • The conversation is with: ______________________
  • What it's about: ______________________
  • What I want from it, if anything: ______________________
  • When it's over, I want this person to feel this way about me: ______________________

Step 2: What matters most this time?

Number these 1, 2 and 3.

  • ___ Keeping or improving the relationship
  • ___ Getting what I ask for, or making my no stick
  • ___ Feeling good about myself afterward

If the relationship comes first, GIVE leads. If something else comes first, GIVE still helps, and your therapist can show you DEAR MAN or FAST to go with it.

Step 3: G, be Gentle

Gentle means no attacks, no threats and no put-downs, whether in words, in your tone or in your face. You can be gentle and still be firm.

  • Things I tend to say or do when I'm upset with this person, which I'll leave out this time: ______________________
  • ______________________
  • A calm first sentence: ______________________
  • If I get too upset to stay gentle, I'll say this and take a break: ______________________

For example: "I want to get this right. Can we pick it up after dinner?"

Step 4: I, act Interested

Interested means listening to understand, not to win. Let them finish. Ask about their side, then wait for the answer.

  • A question I'll ask about their side: ______________________
  • A second question: ______________________
  • What I'll do to show I'm listening (for example, phone away, facing them, nodding): ______________________
  • When I feel the urge to interrupt, I'll: ______________________

Step 5: V, Validate

Validating means showing that what they feel or think makes sense from where they stand. It doesn't mean you agree, and it doesn't mean you'll do what they want.

Six ways to validate, from simplest to strongest:

  • Give them your full attention.
  • Say back what you heard, in your own words.
  • Gently guess what they haven't said, and let them correct you.
  • Say why it makes sense, given what they've been through.
  • Say why it makes sense, given what's happening now: most people would feel the same.
  • Treat them as an equal: be real with them, not careful or fake.

Now plan yours.

  • What they might be feeling or thinking: ______________________
  • The part of their view that makes sense to me, even if I disagree with the rest: ______________________
  • My validating sentence: ______________________

For example: "I can see why you're annoyed. You planned your day around me, and I changed things at the last minute."

Step 6: E, use an Easy manner

Easy manner means keeping the pressure low: a relaxed voice, a little warmth, maybe a little humor if it comes naturally. It doesn't mean pretending you're fine. If you're hurt, you can say so in a calm voice.

  • How I'll keep it easy (the time, the place, a friendly opener): ______________________
  • If smiling or joking doesn't feel natural to me, or wouldn't fit here, I'll show warmth by: ______________________

Step 7: Put it together

  • My opening: ______________________
  • My question: ______________________
  • My validating sentence: ______________________
  • My request, or my no, if I have one: ______________________
  • When and where I'll have this talk: ______________________

Step 8: Validate yourself too

Before you start, give yourself the same fairness you're giving them.

  • My own feelings about this make sense because: ______________________

After the conversation

  • What happened: ______________________
  • The letter that went best: ______________________
  • The letter that was hardest: ______________________
  • How the relationship feels now, 0 to 10: ______
  • How I feel about myself now, 0 to 10: ______
  • Did I get what I asked for? Yes, partly, no, or I didn't ask: ______
  • What I'd try next time: ______________________

A good GIVE conversation doesn't always end with a hug. If you stayed gentle, listened and were fair to both of you, it counts.

Practice log

Start with easy moments: asking a friend about their day and really listening, or saying back what a coworker told you before you answer. Then try harder conversations.

  • Date: ______ With: ______ What I validated: ______ Relationship after, 0 to 10: ______
  • Date: ______ With: ______ What I validated: ______ Relationship after, 0 to 10: ______
  • Date: ______ With: ______ What I validated: ______ Relationship after, 0 to 10: ______
  • Date: ______ With: ______ What I validated: ______ Relationship after, 0 to 10: ______
  • Date: ______ With: ______ What I validated: ______ Relationship after, 0 to 10: ______

Bring this sheet to your next session, including the times it didn't go well. Those tell your therapist the most.

When not to use this on your own

If you're afraid of this person, or they have hurt or threatened you, don't use this sheet alone. Being gentle and understanding toward someone who is harming you is not the goal, and your safety comes first. Talk it through with your therapist. In the US, the National Domestic Violence Hotline is 1-800-799-7233, or text START to 88788. If you might hurt yourself or someone else, call or text 988, or call 911.

End of the worksheet. The rest of this page is for therapists.

The four GIVE skills in depth, for therapists

Linehan frames relationship effectiveness with one question: how does the client want the other person to feel about them once the conversation is over? GIVE is the answer in behavior. Each letter below has what it means, what it doesn't, and what to coach.

G: be Gentle

Gentle rules out three things: attacks, threats and judgments. Attacks include the obvious (yelling, name-calling, anything physical) and the quiet ones clients often miss: sarcasm, eye-rolling, a sigh before answering, a smirk, a door closed a little too hard. Threats include ultimatums ("Do this or we're done") and guilt used as pressure. Judgments are verdicts on the person ("You're so selfish") and "should" statements about how they ought to feel.

What gentle isn't: quiet, passive or vague. A client can say a firm no gently, and can say they're angry in plain words, calmly, without acting it out. Gentle is about how the message arrives, not about watering it down. It also covers how a conversation ends: if the client needs to stop, they say so and leave calmly, instead of storming out mid-sentence.

Coach it: ask the client to list their own "tells", the two or three things they do when they're about to lose their temper with this particular person. Those go on the worksheet as things to leave out, and they're often what the other person remembers.

A threat to self-harm is not a skills problem. If a client tells you they've said something like "If you leave, I'll hurt myself" in a conflict, assess risk and update the safety plan before you coach the wording. The same applies when the client is on the receiving end of such a threat.

I: act Interested

Interested means listening to understand the other person's side, not to collect material for a rebuttal. In practice: let them finish, ask a question about their view, face them, put the phone away, and take a request to talk later seriously by agreeing on a time. Patience is part of it. The other person may need several minutes before they get to what actually bothers them.

What interested isn't: an interrogation. Five quick questions feel like a cross-examination. It also isn't a performance: nodding along while silently rehearsing a reply reads as not caring, and most people can tell.

Coach it: one question, then silence. Many clients ask a question and answer it themselves, or fill the pause. Have them practice asking and counting slowly to five before they speak again. On a video call, interested also means closing other windows and turning off notifications.

V: Validate, and the six levels of validation

Validating means communicating that the other person's feelings, thoughts or wants make sense, from their point of view and given the situation. DBT's rule of thumb is to validate the valid: find the part that makes sense and say so. Behavior can be out of line while the emotion behind it is understandable. A teen who throws a phone across the room isn't acting reasonably, but being furious about losing the phone may make complete sense.

What validation is not: agreeing, approving, praising, giving in, or saying the other person is right. A client can validate a parent's worry and still go to the concert. It's a very common misunderstanding of the skill, and it's covered under mistakes below.

Linehan first described validation as a therapist strategy in six levels, from simplest to most complete (Linehan, 1997). The skills manual teaches a version of them to clients, so they can validate other people and themselves. In our own words:

  • Level 1, pay attention.Be fully present: eyes on the person, phone down, noticing their words and their face. It needs no words at all, and it's the base for everything else. Watch for: half-listening while composing an answer.
  • Level 2, say back what you heard.Sum up what they said in a few words of your own, without spin. "So you found out about the change from the group email, not from me." Watch for: parroting their exact words, which sounds mechanical. A reflection that's slightly off is fine if you let them correct it.
  • Level 3, say what hasn't been said.Name a feeling or thought they seem to have but haven't put into words, as a guess. "I wonder if you felt pushed aside." Watch for: stating the guess as a fact. "You're just jealous" is not level 3; it's an attack.
  • Level 4, make sense of it from their past.Show how the reaction follows from their history or experience. "After how often plans fell through when you were a kid, I get why a last-minute cancel hits hard." Watch for: using only what they've told you, and not implying the reaction is a symptom. Said carelessly, level 4 can sound like "you're only upset because of your past", so pair it with level 5 when the reaction also fits the present.
  • Level 5, make sense of it from now.Show that the reaction fits the current situation, the way most people would react. "Most people would be upset if a plan changed an hour before." Linehan ranks this above level 4 because it treats the response as normal, not as a leftover from the past. Watch for: using it only when it's true. Normalizing a reaction that doesn't fit the facts is validating the invalid.
  • Level 6, treat them as an equal.Linehan calls it radical genuineness: respond to the person as a capable equal, not as someone fragile or as a diagnosis. That includes being honest, even disagreeing. "I'd be furious too. And I still can't lend you the car this weekend." Watch for: condescension, such as a soothing "I totally understand" said from above.

Validation can also be an action. If a partner says they've had no time to eat, making them a sandwich validates more than any sentence about hunger. If the problem is one the client can fix, fixing it is often the strongest validation there is.

The levels aren't a ladder to climb in every conversation. Level 1 and a good level 2 carry most everyday talks. Levels 5 and 6 tend to land hardest when the reaction is reasonable. And the same levels apply inward: self-validation ("my hurt makes sense, given what happened") keeps a client from validating everyone except themselves.

Coach it: have the client find "the true part". Before any conversation, ask: "What part of their view, even 10 percent, makes sense to you?" That sentence becomes the validation. Clients who can't find one usually aren't ready for the talk yet.

E: use an Easy manner

Easy manner means keeping the pressure low: a relaxed face and voice, some warmth, a little humor if it fits, and an invitation rather than a hard push. Think of it as making it easy for the other person to stay in the conversation and say yes, or to say no without a fight.

What easy manner isn't: pretending to be fine, smiling through hurt, or joking to dodge the topic. It also isn't humor at the other person's expense; sarcasm is a G problem, not an E skill. A client can say "I'm really hurt by this" in a calm, unhurried voice, and that is an easy manner.

Easy manner is also the letter that depends most on culture, neurotype and the relationship. Smiling during a disagreement reads as warmth in some families and as mockery in others. Many autistic clients find performing expected facial expressions exhausting; in one study of 92 autistic adults, masking autistic traits to fit in was linked to exhaustion and a shaken sense of self (Hull et al., 2017). Offer other routes to the same goal: a softer voice, a slower pace, sitting side by side instead of face to face, talking while walking, a short friendly text before a hard talk, or choosing a time when neither person is rushed.

Coach it: ask what lowers the pressure for this other person. A teen may talk more easily in the car; a partner may need the first ten minutes after work to themselves. Easy manner is often a choice of time and place more than a choice of face.

When GIVE leads, and when DEAR MAN or FAST does

Linehan's interpersonal effectiveness module asks clients to rank three priorities before a conversation: the objective, the relationship and their self-respect. Each has its own skill. In practice all three blend: DEAR MAN is what the client says, GIVE is how it lands, and FAST is where they hold their ground.

GIVE leads (relationship effectiveness) when:

  • The relationship is long-term and matters more than this one request: a partner, a parent, a close friend, a colleague the client will work with for years.
  • The other person is upset right now. Very little gets heard by someone who doesn't feel heard, so validation comes first and any request comes later.
  • The conversation is a repair after a fight, a missed event or a hurtful comment.
  • The client wants to say no and keep the friendship.
  • There's no request at all: someone the client cares about is in distress and needs listening, not solving.

DEAR MAN leads (objectives effectiveness) when the outcome matters most and the relationship is short or transactional: a refund, a landlord's repair, a correction to a bill. A little GIVE still helps, since gentle requests are harder to brush off, but the client shouldn't trade the objective for warmth.

FAST leads (self-respect effectiveness) when the client is tempted to give up a value to keep the peace, lie to avoid a fight, over-apologize, or act more helpless than they are, or when the other person uses the relationship itself as pressure ("If you loved me, you'd..."). Our DEAR MAN guide summarizes FAST.

Why GIVE and FAST need each other. GIVE faces outward, toward the other person's experience. FAST faces inward, toward the client's own values. A client who runs GIVE without FAST slides into people-pleasing and resentment. A client who runs FAST without GIVE can be right and alone. One sentence can hold both: "I can see how much this matters to you, and my answer is still no."

Three questions to ask a client before a hard conversation:

  1. If you got exactly what you asked for but the relationship took a hit, would that be a good result?
  2. If the relationship came out better but you didn't get what you asked for, would that be a good result?
  3. Whatever happens, what would you need to do to still respect yourself afterward?

A yes to the second question usually means GIVE leads.

GIVE examples: a couple, a teen and parent, and two coworkers

Clients learn GIVE faster from a finished example than from four words. Each example below names the priority order, shows each letter, and gives the line to avoid.

1. A couple: coming home late without a text

Priya, 34, and Marcus, 36, invented, have been arguing about Marcus coming home two hours late without texting. Priya wants a text when he'll be late, and she wants the arguments to stop. Priorities: relationship first, the request second.

  • Gentle:she waits until the next morning, not the moment he walks in. She leaves out the line she usually leads with: "You obviously don't care."
  • Interested:"Before I say my part, what's been going on at work? It's been late a lot."
  • Validate:when he says the new manager keeps calling meetings at 5:30, she reflects it (level 2) and names what's reasonable about it (level 5): "So you're stuck in a meeting you didn't plan, and checking your phone in front of her feels risky. That makes sense."
  • Easy manner:coffee in hand, sitting next to him, a small smile: "Also, I'm getting very good at imagining car accidents."
  • The request, with DEAR MAN:"Could you send a one-word text when you know you'll be late? Even 'late' works."
  • Instead of:"You always do this. Would it kill you to text?"

Marcus is on the receiving end, so GIVE is his skill too. Gentle means no defensive "I'm working for us." Interested means asking what those two hours are like for her. Validate: "So you're sitting there not knowing if something happened. I'd hate that too." The request lands because both of them are using the same skill.

2. A teen and parent: the phone rule

Jess, 15, and her mother Carla, invented, fight most nights about the rule that phones go in the kitchen at 10 p.m. Last night Jess yelled and slammed her door. Carla wants to keep the rule and stop the nightly fights. Priorities for Carla: the relationship first, then the rule (her objective), then staying calm enough to respect herself.

  • Gentle:Carla starts with no lecture about last night and no threat to take the phone for a week.
  • Interested:"What's the worst part of the 10 o'clock rule for you?" Then she waits through a long pause.
  • Validate:Jess says her friends make plans in the group chat at night and she finds out the next day. Carla says it back (level 2), then guesses (level 3): "So you miss the plans, and maybe feel left out by the time you hear?" When Jess nods, Carla adds level 5: "Anyone your age would hate being the last to know."
  • Easy manner:the talk happens in the car on the way to practice, where Jess finds it easier to talk without eye contact.
  • Holding the rule (FAST, with a DEAR MAN offer):"I still want phones in the kitchen at 10 on school nights. Could we try 10:30 on Fridays, and you tell me if the chat stuff gets worse?"
  • Instead of:"When you pay the phone bill, you can make the rules."

Jess can use GIVE too, which is the point of teaching it to both. Her version: "I know you worry I won't get enough sleep, and that makes sense. Can we try 10:30 on Fridays and see?" Validating a parent's worry is often what gets a teen's request a fair hearing.

3. Two coworkers: repairing after a meeting

Nadia, 41, invented, pointed out an error in her colleague Owen's numbers in front of the whole team. He snapped at her, and he's been cold since. They share a project for the next year. Priorities: relationship first, self-respect second (she was right about the error), no objective beyond a working relationship.

  • Gentle:she asks for five minutes in private, not over chat, and doesn't open with "You overreacted."
  • Interested:"How did that meeting land for you?"
  • Validate:Owen says he felt embarrassed in front of the director. Nadia reflects it, then makes sense of it in the moment (level 5): "Being corrected in front of the director would rattle most people."
  • Easy manner:a light opener, "Can I buy you a coffee and a do-over?", and an unhurried tone.
  • Fair to herself (FAST):she apologizes once, for the setting, not for the content: "I'm sorry I raised it in front of everyone. I should have come to you first. The number did need fixing."
  • Instead of:"I'm so sorry, it was a stupid thing to say, I don't even know if I was right."

Notice that her apology is GIVE and her refusal to take back the correction is FAST. Clients with a people-pleasing pattern often need to see that split spelled out.

Common GIVE mistakes and how to coach them

  • Validation heard as agreeing. A common one, and it runs in both directions. Some clients refuse to validate ("If I say it makes sense, she wins"). Others validate and then give in, because agreeing felt like the logical next step. Coach the split directly: "You can understand why she wants it and still say no." Rehearse a validating sentence followed by an unchanged request.
  • "I understand, but..." The "but" erases the validation. Swap it for "and", or validate, pause, and start a new sentence.
  • Validating the invalid. "You're right to scream at him" isn't validation; it endorses a behavior that doesn't fit. Find the valid part, usually the emotion or the want, and leave the behavior out of it.
  • Easy manner as masking. Clients sometimes hear "easy manner" as "act fine": smile through hurt, joke to change the subject, keep a calm face while their chest is tight. That leaves them exhausted and the other person misinformed. Easy manner means not adding pressure, not hiding feelings. "I'm upset about this, and I'd like to work it out" in a calm voice is easy manner. For autistic clients and others who mask, explicitly give permission to skip the smile and use the other routes above.
  • Humor as a weapon. Sarcasm and teasing aren't easy manner. If the joke has a target, it's a G problem.
  • Gentle heard as passive. The client is so gentle that the request never comes out. GIVE sets the tone; it doesn't replace content. Pair it with DEAR MAN and check that the request is still in the script.
  • Interested as interrogation or performance. Rapid questions, or nodding while rehearsing a reply. One question, then wait.
  • Mind-reading as a verdict. Level 3 offered as fact ("You're just scared of commitment") is an attack. Coach "I wonder if..." and "Am I close?"
  • GIVE as a scorecard. In couples and families especially: "You're not validating me." Coach people to ask for the skill instead of grading it: "Can you tell me what you heard me say?"
  • GIVE only outward. Clients who validate everyone and never themselves tend to swallow resentment until it bursts out. Step 8 of the worksheet is there for that. If it keeps happening, lead with FAST for a while.
  • GIVE only in conflict. GIVE builds relationships when nothing is wrong: asking a friend about their week and listening, or reflecting a partner's good news. Assign easy practice first.

A GIVE role-play script for session

Rehearsal is where GIVE becomes something the client can do under pressure. This script takes about 15 minutes. It uses an invented client, Elena, 29, who missed her sister Ana's birthday dinner after a bad week, and wants to repair things on a phone call. Replace the details with your client's situation, and keep each round to two or three minutes.

Setup (2 minutes)

  • Therapist:"Let's practice the call with Ana. When you hang up, how do you want her to feel about you?"
  • Client:"That I care about her, and that I'm not a flake."
  • Therapist:"Then the relationship comes first. We'll use GIVE, with a bit of FAST so you apologize once, for the right thing. What's the true part of Ana's view, the part that makes sense to you?"
  • Client:"I didn't show up, and I didn't text until the next day."

Round 1: you model it, the client plays the other person (role reversal)

  • Therapist:"I'll be you, and you be Ana. Be as annoyed as she really is."
  • Client, as Ana:"Oh, so now you call."
  • Therapist, as Elena (gentle, easy manner):"Yeah, I probably deserve that. I'm calling because I miss you, and I hate how things have been since your birthday."
  • Client, as Ana:"You didn't even text until the next day."
  • Therapist, as Elena (interested):"You're right. What was that night like for you?"
  • Client, as Ana:"Everyone kept asking where you were. It was embarrassing."
  • Therapist, as Elena (validate, levels 2 and 5):"So you ended up answering for me, on your own birthday. Anyone would be hurt by that."
  • Therapist, as Elena (FAST):"I'm sorry I didn't come and didn't text. That was on me."
  • Therapist, stepping out of role:"What did you notice? What made it harder to stay angry at me?"

Round 2: the client tries it, you play the other person (easy version)

  • Therapist, as Ana:"Oh, so now you call."
  • Client:delivers her opening in her own words.
  • Coaching cue, if she starts explaining her week:"Pause. You went straight to your side. Ask her one question first."
  • Therapist, as Ana, softening:"I just thought you'd be there."
  • Client:reflects it and validates it.

Round 3: a harder version

  • Therapist, as Ana:"You always do this. You only think about yourself."
  • Coaching cue, if she counterattacks or starts groveling:"Stay gentle and don't take the bait. Validate what's true, leave the 'always' alone, and apologize once."
  • A line that works, if she's stuck:"I can hear how fed up you are. I don't think I always do this, and I did it this time, and I'm sorry."
  • Therapist, as Ana:either softens or stays cool. Practice both, so the client knows a cool ending isn't a failure.

Cues to keep handy during any round

  • "Swap 'but' for 'and'."
  • "Ask before you explain."
  • "Say back her words before your own."
  • "One apology, for the thing you did."
  • "Slow down and drop your voice a notch."

Debrief (3 minutes)

  • "Rate your confidence for the real call, 0 to 10." Compare it with the rating before round 1.
  • "Which letter will be hardest on the real call?"
  • "When will you call, and what will you do if she doesn't pick up, or hangs up?"
  • "Fill in Steps 7 and 8 of the worksheet now, in your words."

In a group, run it in threes: one practices, one plays the other person, and one watches with the four letters as a checklist, then rotate. By video, agree on how you'll signal stepping out of role, and let the client keep the worksheet beside the screen.

Teaching GIVE to couples and families in the same session

GIVE works best when everyone in the room is learning it, so it becomes a shared language rather than a tool one person uses on another.

  • Screen first, alone. Before any joint GIVE work with a couple, see each partner separately and ask about violence, fear of the partner and controlling behavior. If any is present, don't teach GIVE as a joint exercise; see "When not to use GIVE" below. Our Gottman method worksheets page covers that screening in more detail.
  • Teach both people the same letter in the same session. Start with Validate; it's the one couples and families need most and use least.
  • Run speaker and listener rounds. One person talks for two minutes about a small issue. The listener uses only levels 1 to 3 (attention, saying back, a careful guess), then asks, "Did I get it?" No answering, defending or solving until the speaker says yes. Then swap.
  • Agree how people will prompt the skill at home. "Use your GIVE!" shouted across the kitchen ends the practice. A gentler cue, agreed in session, works better: "Can you say back what I said?"
  • Parents often move first. In family work, a parent's validation tends to lower the temperature faster than a teen's, and teens are more likely to try a skill they see modeled. DBT for adolescents teaches teens and caregivers together, with a module on walking the middle path between their positions (Rathus & Miller, 2015). For relatives of adults with borderline personality disorder, Family Connections is a 12-week program built on DBT strategies, and in its first study 44 participants from 34 families reported less grief and burden and more mastery, maintained six months later (Hoffman et al., 2005).
  • For couples, Alan Fruzzetti's The High-Conflict Couple (New Harbinger, 2006) applies DBT to couples and leans heavily on validation, and makes a good reading assignment for partners.
  • Settle confidentiality before the session. Agree with your client what from individual sessions stays private when a partner or parent joins. With minors, rules on consent and on what parents can access vary by state, so check yours.
  • On video, each person needs a private spot, and you need to know where everyone is. In couples work both partners are usually your clients, and HHS says professionals must "be licensed or legally permitted to practice in the state where the patient is located" (HHS). Our telehealth consent form covers location and emergency details.

When not to use GIVE

GIVE assumes a relationship worth protecting and another person who won't punish the client for being open. When that isn't true, gentleness and validation can turn into appeasement. Hold off, or change the plan, when:

  • The other person is abusing or threatening the client.Coaching a client to stay gentle and validating with someone who hurts or controls them can keep them in danger. Safety planning comes first, and the National Domestic Violence Hotline can help a client make a plan (1-800-799-7233, or text START to 88788). Don't assign GIVE homework that involves an abusive person.
  • The client's pattern is fawning.Some clients, often with trauma histories, already validate everyone and placate to stay safe. More GIVE feeds the problem. Lead with FAST and self-validation, and bring GIVE back once the client can also say no.
  • Validating would mean accepting harm.A demand to accept being hit, threatened, cheated or controlled has nothing valid to validate. The client can still be civil while refusing.
  • Emotion is at crisis level, on either side.No one runs four letters at the peak. Use distress tolerance skills first, and plan the conversation for later. If the client's own emotion doesn't fit the facts, opposite action may come before GIVE.
  • Suicidal or self-harm behavior is active.DBT treats life-threatening behavior before relationship goals. Assess risk, make or update a safety plan and document it. In the US, the 988 Suicide & Crisis Lifeline takes calls and texts.
  • The relationship should end.Linehan's module also covers ending destructive relationships. GIVE can help a client end something respectfully when that's safe, but it shouldn't be used to keep a harmful relationship going.

What the research says about GIVE and validation

GIVE has been studied less than DBT as a whole, and honest teaching says so. What exists:

  • One study of GIVE by name.A PubMed search in October 2026 found one study that coded GIVE itself. Kaufman, Clerke and Meddaoui taught the skill once to 30 self-injuring adolescents and their mothers, and to 30 comparison mother-daughter pairs, and coded their behavior in family conflict discussions before and after. Skill use improved across the sample in gentle, interested and validate, but not in easy manner. Self-injuring teens and their mothers improved more than comparison pairs on being gentle, and better physiological regulation during conflict went with more validating behavior (Kaufman et al., 2023). It's a small study, but it supports two practical points: one teaching session can shift behavior, and easy manner is the hardest letter to teach.
  • Being validated calms people, at least in the lab.In an experiment during a stressful task, participants who received invalidating responses had higher negative affect, heart rate and skin conductance over time than those who received validating responses, in a study that also took each person's skill at regulating emotion into account (Shenk & Fruzzetti, 2011).
  • Higher levels of validation may matter more than more validation.Coding 121 sessions with 35 clients at a DBT training clinic, researchers found no link between how often therapists validated overall and changes in client emotion. More high-level validation went with more positive and less negative emotion; more low-level validation went with less positive emotion; level 4 went with more negative emotion; and level 6 went with more positive and less negative emotion (Carson-Wong, Hughes & Rizvi, 2018). These are within-session associations, not proof of cause, but they fit the advice above to lean on levels 5 and 6 when the reaction is reasonable.
  • Parents can learn it.A 2026 systematic review of 14 studies of DBT-informed parenting programs found caregivers improved in validation and parent-child communication and became less harsh, but most studies were small uncontrolled pilots, and the authors rated the certainty of the evidence as low (Rieder et al., 2026).

For the trials of DBT skills training as a package, see the evidence section of our DEAR MAN guide. In short: teach GIVE as one skill in a treatment plan, and measure whether it changes anything for this client. The worksheet's 0 to 10 ratings are there for that.

How to note GIVE in a progress note

"Practiced GIVE" tells a reviewer very little. A useful note ties the skill to a treatment goal, names how you taught it, and records what the client could do by the end.

  • The target:the treatment plan goal, and the relationship the skill is for, without the other person's private details.
  • Who attended:in a joint session, who joined, how, and that each person agreed and was in a private place.
  • The intervention by name:"GIVE (DBT interpersonal effectiveness skill)", taught with a worksheet, modeled, and rehearsed.
  • The dose:how many rounds, and how you raised the difficulty.
  • The response:what changed during the session, in observable terms, and any ratings.
  • Safety:a risk check, and for couples work, that you screened each partner alone.
  • The plan:the practice assignment and what you'll review next time.

An example in BIRP format, continuing the invented family above: Jess, 15, is in DBT-informed individual therapy for low mood and conflict at home. Her mother Carla joins this session by video. Treatment goal 3: reduce arguments that end in yelling or a slammed door from about four a week to one or fewer.

Wording to copy28 lines
Behavior: Family session 2 of 4, by video. Client (15)joined from home; her mother joined from a privateoffice at work, invited with client's agreement. Bothconfirmed location and privacy. In a 10-minuteindividual check-in first, client denied thoughts ofsuicide or self-harm since last session. Client andmother each reported 4 arguments this week ending inyelling or a slammed door.Intervention: Taught GIVE (DBT interpersonaleffectiveness skill) to both, with a writtenworksheet, focusing on Validate. Therapist modeledsaying back and validating in terms of the presentsituation. Ran 3 speaker-listener rounds of 2 minuteson the 10 p.m. phone rule; each took the listenerrole. Coached one point per round.Response: In round 1, mother moved to problem solvingwithin 30 seconds; by round 3 she reflected client'swords and said, "It makes sense you'd feel cut offfrom your friends at night." Client used a lightopener and did not raise her voice in any round."Felt heard" ratings: client 3/10 in round 1, 7/10in round 3; mother 5/10 and 7/10. Both agreed to aweekly 10-minute check-in using the worksheet.Plan: Client and mother will hold the check-in onSunday and log it. Client's individual session nextweek will review the log and her GIVE practice withfriends. Family session 3 in two weeks. Goal 3continues.

This note goes in the teen's record. Record the parent's participation and what matters for the teen's treatment, not the parent's own history. In DAP, the reports and what you saw go under Data and your reading of the rounds under Assessment; in SOAP, the reports go in Subjective and the observed rounds in Objective. Our BIRP note examples, DAP notes examples and SOAP note examples show each format in full, and the progress notes cheat sheet has wording for interventions and client response.

Phrases you can adapt:

  • Taught GIVE, a DBT interpersonal effectiveness skill, using a written worksheet.
  • Clarified priorities with client: relationship first, then objective, then self-respect.
  • Taught levels of validation; client practiced saying back and validating in terms of the present situation.
  • Modeled GIVE in role reversal; client rehearsed 3 rounds with graded difficulty.
  • Coached client to replace "but" with "and" after validating.
  • Client identified the valid part of the other person's view without agreeing with it.
  • Confidence rated 3/10 before and 6/10 after rehearsal.
  • Screened each partner individually for intimate partner violence before joint skills practice; none reported.
  • Client reports using GIVE with [relationship] without prompting; outcome: [ ].

A treatment plan objective with GIVE in it: "Over the next 8 weeks, client and parent will hold a weekly check-in using GIVE, recorded on the practice log, and arguments that end in yelling or a slammed door will fall from about 4 to 1 or fewer a week, by both reports." If you use a diary card, add a GIVE row so practice between sessions is tracked. Our DBT worksheets include a weekly skills log, and the emotional regulation worksheets help when a client's own feelings are too strong to start a GIVE conversation.

How this works in TranqBay

TranqBay is practice software for therapists in private practice: a practice website, online booking, video sessions, session notes and forms in one place. GIVE is often taught with more than one person in the room, so here's where that fits.

  • Invite others to a session. Couples, families and groups can join one session: a partner for speaker and listener rounds, or a parent for a family session like Jess and Carla's. Sessions can also run by audio or in person.
  • Check camera, mic and speakers before joining. Useful when a parent joins from work or a partner joins from a different room, so the first five minutes aren't spent on sound.
  • Video sessions are end-to-end encrypted and HIPAA-ready. TranqBay provides a Business Associate Agreement that applies when you accept the Terms, with no separate document to sign.
  • Services and booking. Offer individual and couples services, each with its own length and fee, and packages of sessions, for example a set course of couples sessions. Confirm each booking yourself, which leaves room to screen each partner alone before a joint session, or let clients book straight away. Returning clients book their next session themselves.
  • Forms for a session. The form library has ready-made templates you can send a client for a session, including general, couples, child and family intake, consent to treat, telehealth consent and release of information. The client fills them in online and the answers wait with the session. TranqBay doesn't score forms.
  • Session notes come in BIRP, DAP, SOAP or GIRP format, or as a blank note in your own words, so the note above fits whichever you use. The structured formats are part of the advanced note templates, which some plans include.
  • Your practice website is where clients looking for couples or family help read how you work. If you teach DBT-informed skills, say so accurately in its "Services" or "My approach" section, for example: "In couples and family sessions, I teach practical skills from dialectical behavior therapy (DBT) for listening and talking through conflict."
  • The worksheet lives on this page. Send your client the link, or print it.

At practice.tranqbay.health you can see how a couples service shows up on a booking page with its own length and fee, and how sessions work when you invite a partner or a parent.

Frequently asked questions about the GIVE skill

What does GIVE stand for in DBT?

(Be) Gentle, (act) Interested, Validate and (use an) Easy manner. It's the relationship effectiveness skill in Marsha Linehan's interpersonal effectiveness module.

What is the GIVE skill used for?

Keeping or improving a relationship during a conversation that matters: asking for something, saying no, working through a disagreement, repairing after a fight, or listening to someone who's upset.

What's the difference between DEAR MAN, GIVE and FAST?

They serve the three priorities of interpersonal effectiveness. DEAR MAN is for getting what you ask for, GIVE is for keeping the relationship, and FAST is for keeping your self-respect. Most hard conversations use some of each: DEAR MAN for the words, GIVE for how they land, FAST for where you hold firm.

What are the six levels of validation in DBT?

Paying attention, saying back what you heard, naming what hasn't been said, making sense of the reaction from the person's past, making sense of it from the present situation, and treating the person as an equal, which Linehan calls radical genuineness. She first described them for therapists in 1997.

Does validating someone mean agreeing with them?

No. Validating means showing that a feeling or view makes sense from where the other person stands. You can validate someone's anger and still disagree with them, keep your rule, or say no.

Is there a GIVE skill worksheet PDF?

This page works as one. Print it, or choose "Save as PDF" in your browser's print window, and set the page range to the worksheet pages if you only want the client handout.

Isn't GIVE just people-pleasing?

Not when it's balanced with FAST. GIVE changes how a message is delivered, not whether it's said. A client who validates and then gives in every time is using GIVE without FAST, and that's worth working on directly.

Can I use GIVE when I'm angry?

Yes, if the anger is at a level where the client can still choose their words. Gentle doesn't mean hiding anger; it means saying it without attacks or threats. If the anger is too high for that, take a break first and use a distress tolerance skill.

Does GIVE work by text or email?

Partly. Gentle, validate and easy manner come through in writing, and a text can open a hard conversation more easily than a face-to-face talk. Interested is harder in writing, so ask a real question and wait for the answer before replying to everything at once.

Can I give clients Linehan's GIVE handout?

Linehan's handouts are copyrighted and published by Guilford Press in DBT Skills Training Handouts and Worksheets, which Guilford describes as reproducible. The license printed in the book sets out who may copy them and for what, so read it first. Posting them on a website or a shared drive is a different matter from giving a copy to your own client. Explaining the skill in your own words and making your own worksheet, as this page does, avoids the question.

Is the GIVE skill evidence-based?

DBT skills training has research support as a package. GIVE itself has been studied in one small study, in which 60 mother and daughter pairs, half with a daughter who self-injured, improved in three of the four GIVE behaviors after a single teaching. Experiments on validation also show that being validated lowers emotional and physical arousal compared with being invalidated.

Before your next session

Pick one client whose relationships keep going wrong in the same way, or a couple stuck in the same argument. Print the worksheet, find "the true part" of the other person's view together, rehearse it twice with the script above, and look at the practice log next week.

If couples or family sessions are part of your work, see how TranqBay works for private practice: you can look at the practice website designs where you'd describe that work, see how a couples service with its own length and fee looks on the booking page, and read how inviting a partner or parent to a session works. If you're deciding whether to join, this page explains how joining TranqBay works.

Sources

14 sources

Books 3Research 6pure.psu.edu 1newharbinger.com 1HHS 1thehotline.org 1988 Lifeline 1

Updated October 25, 2026. Found it useful? Send it to a colleague.

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