Words Matter

The words we use shape how the world sees people—and how they see themselves.

If you care about someone and are worried about their substance use, think about the words you use! When you decrease stigma, you help your loved one:

  • Become more willing to seek treatment.
  • Avoid feelings of pity, fear and anger, and a desire for social distance.
  • Get the best possible treatment from healthcare providers.


Hover over or tap on the cards below to learn a kinder way to say stigmatized words or phrases.

Instead of...

User. Drug abuser.

Instead of...

Addict. Junkie. Alcoholic. Drunk. Druggie.

Try this!

Person with substance use disorder or person in active use.
Show someone has a problem, rather than is the problem.

Instead of...

Former addict. Reformed addict.

Try this!

Person in recovery or person who previously used substances.
Value people’s humanity! Person-first language is best. It shows your situation doesn’t define you.

Instead of...

Alcoholism.

Instead of...

Mentally ill. Crazy.

Instead of...

Detox.

Instead of...

Bum. Transient.

Instead of...

Abuse.

Instead of...

Habit.

Instead of...

Clean. Dirty. Pass. Fail. (urine toxicology)

Try this!

Negative. Positive.
Use neutral words that don’t judge.

Instead of...

Opioid substitution, replacement therapy, medication assisted treatment (MAT).

Try this!

Medication for opioid use disorder (MOUD), medication for substance use disorder (SUD) care.
Medication does NOT replace the substance and is often used as a long-term treatment tool.

Instead of...

Clean. Sober.

Try this!

In remission or recovery. Abstinent. Not in active use.
Use neutral words that don’t judge.

Instead of...

Relapse. Lapse. Slip.

Try this!

Return to use. Return of Substance Use Disorder (SUD) symptoms.
Use neutral words that don’t judge.

Instead of...

Addicted baby.

Try this!

Baby born with neonatal abstinence syndrome. Baby born to mother who used drugs while pregnant.
Babies can’t be born with addiction because addiction is a behavioral disorder. They are born with withdrawal syndrome.

Instead of...

Drug of choice.

Try this!

Primary substance, use of (x) substance.
Substance Use Disorder (SUD) is not a choice.

Instead of...

Relapse prevention.

Instead of...

Prescriber.