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From DBT Skills Training Handouts and Worksheets, Second Edition  by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permis -
sion to photocopy this worksheet is granted to purchasers of this book for personal use only (see copyright page for details). Purchasers may 
download a larger version of this worksheet from www.guilford.com/dbt-  
worksheets .in terpersonal e ffectiveness Works H eet 3   (I. E. Handout 4)
cl arifying pr iorities in in terpersonal Situations
Due Date:  Name:  Week Starting: 
U
se this sheet to figure out your goals and priorities in any situation that creates a problem for you. 
Examples include situations where (1) your rights or wishes are not being respected; (2) you want 
someone to do or change something or give you something; (3) you want or need to say no or resist pressure to do something; (4) you want to get your position or point of view taken seriously; (5) there is conflict with another person; or (6) you want to improve your relationship with someone.
Observe and describe in writing as close in time to the situation as possible. Write on the back of 
this sheet if you need more room.
promp
ting event for my problem: Who did what to whom? What led up to what? What is it about this situation that is a problem for me? Remember to check the facts!
my w
ants and desires in this situation:
O
bjectives: What specific results do I want? What do I want this person to do, stop or accept?
R
elationship: How do I want the other person to feel and think about me because of how 
i 
h