The Business of Practice

Positive Reinforcement in DBT: Rewiring Neuroplasticity to Reduce Self-Harm and Boost Emotional Regulation

Written by Blake Harper | Jun 3, 2025 10:11:13 PM

While Dialectical Behavior Therapy (DBT)  is commonly associated with its four primary skill modules—mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness—there's another essential, often underemphasized component at play: positive reinforcement. When used strategically, positive reinforcement taps into the brain's neuroplasticity, reshaping harmful behavior patterns and strengthening emotional regulation. This approach is particularly impactful for individuals prone to self-harm, impulsivity, and emotional dysregulation.