It’s not something that people have always heard about. It is just as it sounds. It is language that is intentionally putting the person as a human being first as their identity before any deficit or illness that they might have. We still often will refer to people as an addict, an alcoholic, or a substance abuser. If you listen, that is not person-first. That is defining the identity of the individual by the disease that they have. It makes a big difference because non-person first blames the individual for their behaviors and implies that they are willfully choosing those behaviors rather than see them as a person first and the behaviors as a symptom of an illness with which they are suffering. Support meetings have other considerations. That is the individual choosing to use the language that is socially normed to that subculture. In those meetings, the use of that language does not have the same connotations and bias and stigmatization.

We can draw upon to understand how important this is that the most cited reason why an individual suffering from a substance use disorder and co-occurring mental health is the number one reason they cite for not seeking treatment or leaving treatment is the experience of bias, stigma, and the internalized stigma of shame. The very people we wanna treat—they’re not gonna come into treatment because of the language that we used. It isn’t just words, William. Language has the power to either hurt or to promote hope and healing, and we need to be in the business of educating towards the use of words that promote hope and healing for those who are suffering from these illnesses.

People with opioid use disorder and the recovery community often see that people on methadone or buprenorphine have simply substituted one drug for another. We can change that by referring to these medications as what they are. They are medications for the treatment of opioid use disorder.

Keep on Traveling.