DBT Skills — Adult Group

DEAR MAN

Building the request before the conversation has the chance to overwrite it.

What this is

A DBT skills group. One skill per session. We learn it, we practice it, and we talk about what worked and what did not. Today the skill is DEAR MAN.

How we work

What is shared here stays here. The only exception is safety. You can pass on any question without explanation. Skepticism is data; if a piece of the skill does not fit your life, the group needs to know why.

What success is

The work is in noticing what happens when you try the skill, not in performing it correctly the first time. A clean failure that you can describe is more useful than a polished demonstration that nobody believes.

What today looks like

Seven pages, roughly sixty minutes. We start with where this skill sits on the larger map. We work through the seven letters. We practice on five short scenes. We close with one specific request you will run before next group.


The fight had a shape, the request did not

When someone in eating disorder recovery comes into group still rehearsing last week's argument with a partner, every sentence and every tone and who walked into the room while it was happening, and I ask what they were actually trying to request, the answer goes vague. The fight had been constructed in real time, half of it by the partner, and the request the person had been carrying into the conversation never made it into a sentence. DEAR MAN is what builds the request before the fight has the chance to overwrite it.


Three questions to bring you in

Short answers. One or two sentences is enough. Hold the third one if you need to write it down before you say it.

1
What is one thing you wanted this week and could not figure out how to ask for?
A snack, a phone call, a ride, a softer conversation, a change to the meal plan. Small counts. The one you actively avoided counts more than the one you forgot.
2
When you imagine making the ask, what stops you mid-sentence: the words, the body, the imagined response, or something else?
Try to locate the stop. The mouth dries. The chest tightens. The mind speeds up. The face flushes. Notice which one happens first.
3
What did your family of origin do when someone in the house asked for something they needed?
The exact phrasing if you have it. "We don't have time for this right now." "Why are you making this such a big deal?" "Of course, sweetheart." The atmosphere counts even more than the words.

Where this skill sits on the map

DBT is organized so that each skill knows its place. Before we work the skill itself, three quick orientations: which behavior it addresses, what level of distress it fits, and how it gets tracked between sessions.

Target hierarchy

Linehan ranks behaviors so the work knows what gets addressed first. DEAR MAN sits in the third tier: behaviors that interfere with a life worth living. The work is not crisis stabilization; it is the architecture of asking, which the previous tiers have to be stable enough to allow.

  1. 1 Life-threatening behavior
  2. 2 Therapy-interfering behavior
  3. 3 Quality-of-life-interfering behavior DEAR MAN works here
  4. 4 Skill deficit
  5. 5 Goals and values
Regulation scale

DEAR MAN is a thinking skill. It needs the prefrontal cortex available, which means it works close to the window of tolerance. Below -2 the body is in collapse and the request will not form. Above 5 the body is too activated for the script to land. Outside this band, run a body-first skill — TIPP, paced breathing, behavioral activation — until the system returns to the working zone, then run DEAR MAN.

DEAR MAN working range on the regulation scale The DEAR MAN skill works between -2 and 5 on a -10 to +10 polyvagal regulation scale. Negative values mark dorsal-vagal collapse; positive values mark sympathetic activation; zero is the window of tolerance. -10 -5 0 +5 +10 SHUT DOWN COLLAPSE WINDOW OF TOLERANCE ACTIVATION ELEVATION DEAR MAN works here
Polyvagal-informed regulation scale, -10 to +10. DEAR MAN's working range sits across the window and into low activation, where the request can be both built and held.
Diary card

Between sessions, DEAR MAN is tracked on the diary card the same way every other skill is tracked. The point is not the rating; the point is the noticing. Skipping a column is also data.

Day Used DEAR MAN Effectiveness 0–7 Note (one line)
Mon Yes 4 Asked dietitian for smaller snack. Got partial yes.
Tue No Skipped. Did not ask partner about Saturday plans.
Wed Yes 2 Apologized through the whole sentence.

A "yes" with low effectiveness is more useful than a "no". The yes shows where the skill cracked open. The 0 to 7 scale is Linehan's; some clinicians use 0 to 5.

The request as architecture

DEAR MAN does one thing. It builds the request before the conversation has the chance to absorb it into something else. Most asks fail not because the other person refuses but because the ask never fully forms. The goal of the skill is the formed sentence, said out loud, in the right body, at the right time.

The premise

Adults coordinate by explicit asking. The expectation that someone will read your need, anticipate it, and provide it without being told is a contract from a different relationship. Importing that contract into the present produces silent need followed by resentment followed by symptoms.

There are three classical failure modes of the ask, each of which DEAR MAN was designed to address. Tap each one to see what it sounds like and which letter most directly answers it.

Passive collapse — the ask never leaves your mouth
+

You walk into the conversation knowing what you want. You leave the conversation having said yes to something else. Sometimes the request changes shape into a hint, a sigh, a delayed text. Sometimes it disappears entirely. The body delivers the no the mouth could not.

In ED recovery, this is the interpersonal mirror of restriction. Asking less, needing less, occupying less. Describe and Assert are the letters that fail first when collapse is the pattern.
Aggressive escalation — the ask arrives as a complaint
+

The ask gets pressurized by the silence that came before it, then comes out as accusation. "You never listen." "You always do this." The other person defends. The original request, if it was ever there, is now invisible underneath the fight.

Aggressive escalation is suppressed asking that finally exits under pressure. It is not the opposite of collapse; it is collapse running late. Express and Mindful are the letters that fail first here.
Mind-reading expectation — the ask is held in evidence rather than spoken
+

You believe the other person should know what you need without being told. When they fail to provide it, the failure is added to a private file. The relationship deteriorates against a request the other person was never given the chance to honor.

Common in enmeshed families where caregivers did mind-read at baseline. Explicit asking can feel like betrayal of the merger. Reinforce tends to fail here, because the other person's value as separate is what the merger refused to see.
The dialectic

I can ask and accept no. I can name what I feel without making the other person responsible for it. I can be direct and stay in the relationship. DEAR MAN is the practice of holding all three at once.

Seven letters, in order

Tap each letter for the definition, an example, what it is not, and one phrase to try this week. The first four (D, E, A, R) build the request. The last three (M, A, N) hold the request through the conversation.

How to read these

The letters are a sequence, not a checklist. You can lose the request at any letter, and you can recover at any letter. The work is noticing which letter you skip when the ask gets close to your mouth.

D
Describe the situation
Facts only, no character judgment

Definition. Lay out the situation with what is observable. No interpretation. No history. No "you always". Three sentences of pure fact, said before the request even arrives.

Example. "I asked you to be home by seven; you got home at nine-thirty. I tried to text you twice and the texts went unanswered."

Not. "You never respect my time. You always do this." That is interpretation, and it gives the other person something to defend instead of something to address.

Try this week. Pick a moment you want to address. Write three sentences of pure observation. Read them aloud. Notice the pull to add the editorial.
E
Express how you felt
Your feeling, in your voice

Definition. Name the feeling about the situation in first person. The point is locating the feeling inside you, where you can do something with it, rather than locating it inside what the other person did.

Example. "I felt worried, and then I felt hurt."

Not. "You hurt me." That collapses your feeling into their action and makes the conversation about who is to blame.

Try this week. One feeling word, said out loud, while your body holds the chair. Notice if the feeling word changes when it leaves the throat.
A
Assert what you want
The actual request, said directly

Definition. Say what you want, in one sentence, in the indicative. Not what you don't want. Not a hint. Not a question that could be read as rhetorical. The request itself.

Example. "I want you to text me if you'll be more than thirty minutes late."

Not. "It would be nice if maybe sometimes you could let me know." A hedged request gives the other person permission to treat the request as optional, which it was not.

Try this week. Write the request as a single declarative sentence. If the sentence has more than fifteen words, it is hiding something. Cut until it does not.
R
Reinforce the request
What the other person gets

Definition. Name what the other person gets if they say yes. The point is making the natural good of honoring the request visible, so the other person sees it. Paying for the yes turns the ask into a transaction, which works against the skill.

Example. "If you text me, I won't spend the evening anxious, and we'll have a different night when you get home."

Not. "And I'll do anything you want for the rest of the week." Compensation that the asker invents to purchase the yes is a sign the request was never believed to deserve a yes on its own merits.

Try this week. One sentence on what is in it for the other person. Has to be true. The sentence you mean, not the sentence you are willing to pay.
M
Stay Mindful of the goal
The first of three holding letters

Definition. Hold the request through the diversions. The other person may shift the topic, attack your character, bring up an old grievance, or apologize their way past the actual ask. Notice. Return.

Example. "I hear that the kitchen is a mess and we can talk about that. Right now I need to know if you'll text me when you'll be more than thirty minutes late."

Not. Defending yourself against the diversion. ("The kitchen is a mess because I had to take the dog out, and...") The diversion has won the moment you are explaining yourself instead of returning to the ask.

Try this week. Decide the request before the conversation. Write one return sentence and have it ready. "I want to come back to what I asked at the start."
A
Appear confident
Voice and body matching the words

Definition. The body and voice match the request. Steady tone, eye contact at conversational level, upright posture, hands visible. The point is not feeling confident. The point is not undermining the words with a posture that signals "ignore this".

Example. Speaking at conversational volume rather than a near-whisper. Holding the chair rather than backing toward the door.

Not. Apologizing your way into the request. "Sorry to bother you, I know this is silly, but..." The opener already told the other person the ask is small enough to dismiss. They will.

Try this week. Notice what your body does when the ask gets close. Where does it shrink? Where does the volume drop? Hold the position even if it feels false. The body learns the ask is allowed by being in the position while the ask happens.
N
Negotiate
Bend on the how, not the what

Definition. Be willing to move on the form of the request without abandoning the request itself. The text is non-negotiable; the timing, the wording, the channel can flex. Decide before the conversation what bends and what does not.

Example. "If a text every time feels like too much, would a heads-up before you leave work cover it?" The request stayed the same; the mechanism opened up.

Not. "Never mind, you don't have to text." That is collapse renamed as flexibility. Negotiate is bend; collapse is break.

Try this week. Before the conversation, write down the request and circle the part that is non-negotiable. Everything outside the circle is negotiable. Knowing the difference in advance is the difference between Negotiate and collapse.
A note on order

Linehan teaches the letters as a sequence because the request needs to exist before the holding letters can hold it. In practice, you will lose letters and pick them up out of order. The work is finishing the sentence, not running the script clean.

Five scenes

Each scene below is a moment from group members' actual lives, de-identified and lightly altered. Read the scene. Try to name which letter or letters were missing before tapping "Show the analysis." Then we will workshop a version where the missing letters are present.

Scene 1

Your dietitian adds an evening snack to the plan. Your jaw locks. You leave the session having said "Sure, that sounds good." Three days later, the snack has not happened. Dinner has not happened either. You have lost weight. The next appointment is tomorrow.

Describe and Assert were skipped. The "sure" sent at the end of the session was a substitute for the real response, which was that the snack as proposed was intolerable in that form, at that time, on top of the existing plan. The body delivered the answer the mouth could not.

The version with the missing letters. "When you added the evening snack, my jaw locked and I said yes anyway. I want to come back to that. I cannot do the snack as it was framed. I can do half of it at seven, or the full snack at five. Telling you this is what makes the meal plan work, not what makes me a difficult patient."

Scene 2

You have a hard week. You want your partner to take over dinner three nights so you can rest. You start the sentence with "I'm sorry, I know this is a lot to ask, but if it's not too much trouble..." Your partner gets defensive before you finish. The conversation ends with you cooking.

Appear confident was abandoned in the first six words. The apology framed the request as an imposition, which gave the partner a hook to refuse before the request had been heard. The opening did the work the partner did not have to do.

The version with the missing letter. "This week has been long, and I haven't been able to recover from any of the days. I want you to make dinner Tuesday, Wednesday, and Thursday. If we both rest more this week, the rest of the month will go better." Said sitting upright, conversational volume, no apology.

Scene 3

Your parents invite you to a family dinner you know will involve commentary on your body, your plate, or both. You say yes because saying no feels impossible. The day of the dinner, you have a panic attack. You go anyway. You purge in their bathroom afterward.

Mindful and Negotiate were both skipped at the moment of the invitation. The yes operated as a preemptive shrug: the no was not said because no version of the no had been built in advance. By the time the panic was active, no DEAR MAN was possible. The skill needed to be deployed at the invitation, not at the dinner.

The version with the missing letters. "I am not coming to dinner this Sunday. I will see you for coffee Saturday morning instead." Keep the relationship open without keeping the dinner open. Decide what the sentence sounds like before the next invitation arrives.

Scene 4

Your treatment team is meeting tomorrow. You want to step down from a level of care that no longer fits, and you have wanted this for two months. You have not said it. You have rehearsed three different ways to bring it up. None of them sound right in your head.

Reinforce is the missing letter. The rehearsal kept stopping at the ask without naming what the team gets if they say yes. From the team's perspective, a step-down request has to land as a clinical move, not a preference. Without Reinforce, the request reads as "I want this," which the team has heard from people who were not ready.

The version with the missing letter. "I want to step down from the current level of care. The reason is that I have been able to use the skills outside of session for the last six weeks, and the structure now feels like it is interrupting practice rather than building it. Stepping down would let me show whether I can hold this on my own with the team in the room when it gets hard."

Scene 5

Your sponsor's last text was three days ago. You are in a hard week. You want a phone call. You feel like asking for a phone call after she did not reply means you are too much. You wait. You do not eat dinner. You text her about it the next morning, ashamed.

Describe was reframed into mind-reading. Express was held back because the feeling was treated as evidence of being a burden, not as information. The request never got to be a sentence because the request was disqualified before it formed.

The version with the missing letters. "I haven't heard from you in three days, and I am in a hard place this week. I am worried, and I want a phone call tonight or tomorrow morning. Even fifteen minutes would help me hold the rest of the week." Three letters: D, E, A. The whole text is under fifty words.

Facilitator note

After each scene, invite the group to rewrite the working version in their own words. A request you can recite is not yet a request you can use. A request in your own phrasing, said aloud in the group, is the one that will arrive in time when the actual moment comes.

Going deeper, together

Pick one question. Answer from this week, not in general.

Locate
Which letter is the hardest for you to actually use? Not which one sounds difficult on the page; the one you skip when the request is in front of you.
Push for behavioral specificity. "All of them" is honest and also avoidance. Ask which one was skipped at breakfast.
Body
Where does the body shrink when the ask gets close to your mouth? Throat, chest, jaw, stomach, somewhere else?
Critical for this population. The skill cannot be installed in a body that has been rehearsing collapse for years without the body being part of the work. Do not let the group stay in the head.
History
What did asking look like in the house you grew up in? What did the person doing the asking get?
Ownership, not indictment. The myth was usually inherited and made sense once. Naming the inheritance lets the group separate the family's contract from the contract the participant wants now.
Mindful
Mindful is the letter that protects the request from being talked out of. What does the diversion sound like when it works on you? Whose voice is it?
Often the diversion sounds like a parent, a partner, or the participant's own younger self. Naming whose voice it is reduces its authority.
Reinforce
Reinforce fails when you believe you have nothing to offer the other person. What is the not-true belief about you that makes Reinforce feel impossible?
This is the worthiness question, asked in DEAR MAN's vocabulary. For ED recovery it usually has a long history. Hold the question without trying to answer it for the participant.

Five prompts to take with you

These are journaling prompts for the week. The point is not to fill all five. The point is to walk into next group with material already loaded so check-in does not start cold.

1
A request you skipped this week, and which letter would have made it possible.
The skip is the data. Get specific: who, when, what you wanted, where the request stopped.
2
A request that worked this week, and which letter carried it.
Successful asks are usually invisible to the asker. Track them anyway. The pattern of what works is as instructive as the pattern of what fails.
3
A phrase from your family of origin about asking for help. The exact phrasing if you have it.
The phrase your mother used when you wanted something at the grocery store. The phrase your father used when he asked for something. The atmosphere counts as much as the words.
4
One specific situation between now and next group where you will run DEAR MAN. The person, the time, the words.
Not "I'll be more assertive." That is a wish. The text is the request. Write the request you will say.
5
The Reinforce sentence you want to be able to say. Not the apology you usually substitute.
The natural good of someone honoring your request. The sentence that is true. The one you do not yet feel entitled to say but want to.
Facilitator note

Tell the group that next session will start by going around the room with one sentence from one of these prompts. Naming this in advance changes the cold-start problem. Participants who know the entry point arrive loaded, and participants who arrive empty have a clear way back in.

Pick one

Choose one practice to run between now and next group. Small is better than ambitious. The skill installs through behavior, not through belief about behavior.

One ask, said out loud
One request this week, to a specific person, in your own words. Written first if needed. Delivered without apology.
The skipped letter
Identify the letter you most often skip. For one request this week, run all seven, in order, even when the skipped letter feels false.
Reinforce only
For one ask this week, write the Reinforce sentence first. Build the request backwards from what is in it for the other person.
Track the apology
Each time you start a request with "sorry to bother you" or its variants, note it. Bring the count back to group. Counting the apology is how the apology starts to subside.

One sentence

In one sentence: name the person you will ask, the time you will ask them, and the words you will use.

Facilitator note

Push for specificity. "I will work on being more direct" is a wish, not a checkout. "I will text my sister tomorrow morning at nine and say I cannot come to dinner Sunday, and I will not apologize" is a checkout. Name the person, the time, the words. The skill is the named sentence.