Language shapes how people are understood, supported, and treated across the recovery field. The words we use to describe ourselves influence how others respond to us, define our roles, and make decisions about care, policy, and practice.
Language reflects assumptions about recovery, risk, and responsibility, and it becomes embedded in systems over time. Establishing shared language is a practical starting point for aligning values with practice.
For more information on Workplace Culture & Language, visit here.
Say This
Substance use
Unhealthy/risky/harmful use
Return to use
Use increased/use resumed
Talk about substance use (accuracy without moralizing)
Not That
Substance abuse
Drug habit
Relapse
Fell off the wagon
Say This
Person with a SUD
Person who uses drugs
Person in recovery/long-term recovery
Person with (fill in the blank)
Talk about people (identity first vs condition first)
Not That
Addict/junkie/drug abuser
User/druggie
Recovery addict (as a default label)
Any diagnosis as a noun
Say This
Treatment/care/ services
Engaged in or connected to care
Chose not to participate today
Needs (additional) support
Talk about treatment, care, and services (precision + respect)
Not That
Fixing people
Compliant (as a default label)
Refused (unless a true refusal)
Difficult or manipulative
Say This
Meds for opioid use disorder
Buprenorphine/methadone/etc
Evidence-based treatment
Talk about medications (especially for OUD)
Not That
MAT (as the preferred term)
Substitution therapy
Replacing one drug for another
Say This
Positive/negative test result
Substance present/not detected
Talk about toxicology and testing (remove “moral verdict” words)
Not That
Clean/dirty
Failed/passed
People sometimes self-identify with terms like “addict” or “alcoholic.” When someone uses a term for themselves, reflect their language in that context (especially in quotes or self-description), while keeping organizational language person-first and non-stigmatizing as the default. This approach is consistent with major style guidance that avoids those labels as default descriptors.
Language often reflects what systems prioritize. When language aligns with dignity, choice, and shared humanity, peer specialists are better supported to do the work they were hired to do.
