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

Language matters graphic design

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.