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How Can We Help Eliminate Stigma?

hilarydagg
Feb 212 min read

How Can We Help Eliminate Stigma?

Well, by reading this, you've already taken the first step: educating yourself on what stigma is and how it impacts people. Another powerful way to combat stigma is by changing the way we talk about substances and the people who use them.


The Power Of Language

Language is constantly evolving, and the words we use matter. When discussing substance use, here are some key considerations:

Use Person-First Language

People are not defined by their substance use. Instead of saying "addict," "junkie," or "alcoholic," use phrases like "a person who uses substances," "a person with a substance use disorder," or "a person who uses drugs." This small shift reinforces the idea that substance use is just one aspect of a person’s life—it does not define them. While some individuals may choose to self-identify using these terms, it is not our place to apply these labels to others.

Stop Using the Term "Substance Abuse"

The word "abuse" is commonly associated with physical, emotional, and sexual harm. Using it to describe substance use inaccurately implies that the individual is an "abuser." Instead, use "substance use disorder" (SUD) or simply "substance use." This not only reduces stigma but also aligns with more accurately medical terminology.

Eliminate the Word "Clean"

Phrases like "clean needles," "clean supplies," or "they're clean now" suggest that people who use substances—or their equipment—are "dirty." This is not only inaccurate but also harmful. Substance use does not make someone unclean, just as taking prescription medication does not make someone "dirty." This type of language fuels stigma and can even discourage bystanders from intervening in overdose situations due to fears of contamination. Instead, use terms like "new needles," "sterile supplies," or "in recovery."

Replace "Relapse" with "Recurrence of Substance Use"

The term "relapse" carries a connotation of failure, suggesting that all progress has been lost. However, recurrence of substance use is a common and expected part of many recovery journeys, with rates ranging from 40-85%. Instead of viewing it as a failure, we should frame it as a learning opportunity: What triggered it? What happened? How can it be handled differently next time? A more supportive approach empowers individuals to continue on their path to recovery rather than feeling as though they should give up.

Use Medically Accurate Terms

Outdated terms like "alcoholism" are no longer used in medical settings. Substance use disorders (SUDs) are real, diagnosable conditions outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR). Specific diagnoses include "Alcohol Use Disorder," "Opioid Use Disorder," and more. Recognizing these conditions as medical disorders—similar to chronic illnesses like asthma, diabetes, and hypertension—helps reinforce the need for evidence-based treatments, including medication and professional support.

Language Shapes Perception!

The way we talk about substance use has a huge impact on how people who use substances are treated. By being mindful of the words we use, we can work towards breaking down stigma, promoting compassion, and encouraging supportive, evidence-based approaches to recovery. It might seem like a small change, but the impact can be massive.



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