Substance use disorder is one of the most stigmatized medical conditions in the US.

Stigma is a mark of disgrace associated with a particular circumstance, quality, or person. Stigma about a person dealing with substance use disorder might include baseless thoughts like they are dangerous or at fault for their condition.  Stigma may stem from beliefs that addiction is a moral failing.  Addiction and substance use disorder (SUD) is a chronic, treatable disease, one from which patients can recover and continue to lead healthy lives.

Stigma’s negative impacts are felt both of those experiencing substance use as well as their loved ones.  Stigma reduces the willingness of individuals to seek treatment.  Stigmatizing language can negatively influence health care provider perceptions of people with SUD, which can impact the care they provide, and their willingness to believe their patients.  Below is a list of language that is outdated and may be stigmatizing.

Use

 

Stigmatizing Language

 

  • Person with a substance use disorder
  • Person with an opioid use disorder (OUD) or person with opioid addiction
  • Addict
  • User
  • Substance or drug abuser
  • Junkie

 

  • Person with alcohol use disorder
  • Person who misuses alcohol/engages in unhealthy/hazardous alcohol use

 

  • Alcoholic
  • Drunk
  • Person in recovery or long-term recovery/person who previously used drugs
  • Former addict
  • Reformed addict

 

  • Testing positive (on a drug screen)
  • Dirty
  • Failing a drug test

 

  • Substance use disorder
  • Drug addiction

 

  • Habit
  • Use (for illicit drugs)
  • Misuse (for prescription medications used other than prescribed)

 

  • Abuse
  • Medication treatment for OUD
  • Medications for OUD
  • Opioid agonist therapy
  • Pharmacotherapy
  • Medication for a substance use disorder

 

  • Opioid substitution
  • Replacement therapy
  • Medication-assisted treatment (MAT)
  • Being in remission or recovery
  • Abstinent from drugs
  • Not drinking or taking drugs
  • Testing negative (on a drug screen)

 

  • Clean
  • Baby born to a parent who used drugs while pregnant
  • Baby with signs of withdrawal from prenatal drug exposure
  • Newborn exposed to substances
  • Baby with neonatal abstinence syndrome

 

  • Addicted baby