Language significantly impacts how we perceive and interact with others. Using respectful and uplifting language is crucial, especially when discussing mental health, substance use, and disabilities. This guide provides alternatives to common stigmatizing or ableist terms and emphasizes the importance of person-first language.
Stigmatizing Terms and Alternatives
Certain terms can perpetuate stigma and negative perceptions. Here are some common stigmatizing words, along with more respectful alternatives:
"Crazy" is a term that is frequently used to describe a wide range of things, from behavior and ideas to experiences and conditions. However, it is problematic because it can inadvertently reinforce negative stereotypes about mental health and disabilities. It often conveys a sense of unpredictability or irrationality that can be dehumanizing and dismissive. Here are some contexts where "crazy" is used and some more respectful alternatives:
Instead of "Crazy Idea," use:
Unconventional
Innovative
Radical
Out-of-the-box
Wild
Instead of "Crazy Behavior," use:
Unusual
Unpredictable
Unexpected
Wild
Instead of "Crazy Experience," use:
Intense
Extreme
Extraordinary
Overwhelming
Wild
Instead of "Crazy Situation," use:
Surprising
Extraordinary
Astonishing
Unbelievable
Wild
Instead of "Crazy Passion," use:
Intense
Deep
Strong
Fierce
Wild
Instead of "Crazy Person," use:
Person with unusual behavior
Person experiencing extreme emotions
Individual with a unique perspective
Person exhibiting unpredictable actions
Instead of "Mentally Ill," use:
Person with a mental health condition
Person experiencing mental health challenges
Individual living with a mental health diagnosis
Instead of "Handicapped / Crippled," use:
Person with a disability
Disabled person (if they prefer identity-first language)
Instead of "Suffering from [condition]," use:
Living with [condition]
Managing [condition]
Experiencing [condition]
Navigating [condition]
Instead of "Self-harm / Self-mutilation," use:
Non-suicidal self-injury (NSSI)
Self-injury
Person who engages in self-injury
Instead of "Special Needs," use:
Person with a disability
Person with additional needs
Individual with support needs
Disabled (if they prefer identity-first language)
Instead of "Substance Abuse / Substance Abuser," use:
Substance use (for drugs)
Substance misuse (for prescription medications)
Person who uses drugs
Person with a substance use disorder
Instead of "Addict / Junkie," use:
Person with a substance use disorder
Person who uses drugs
Instead of "Alcoholic," use:
Person with alcohol use disorder
Person with a chaotic relationship with alcohol
Instead of "Clean," use:
For toxicology results: tested negative
When referring to an individual:
In recovery
Abstinent from substances
Not drinking or using substances
Not currently or actively using substances
Instead of "Dirty," use:
For toxicology screen results: tested positive
When referring to an individual:
Currently using [name of substance]
Currently drinking or using substances
Instead of "Non-compliant / Resistant / Unmotivated / Non-adherent," use:
Not participating or not in agreement with the treatment plan
Opted not to
Has not begun
Feels ambivalent about change
Instead of "Former Addict / Reformed Addict," use:
Person in recovery
Person no longer using substances
Instead of "Clean & Sober," use:
In recovery
Abstinent from substances
Instead of "Lapse / Relapse / Slip," use:
Experienced a recurrence of use
Resumed/returned to use
The Impact of Person-First Language
Using person-first language is not just about being politically correct; it’s about recognizing the dignity and humanity of individuals. This approach helps avoid defining people by their challenges and acknowledges them as complex individuals with diverse experiences.
By carefully choosing our words and embracing person-first language, we can create a more inclusive, respectful, and supportive environment. This practice not only helps to reduce stigma but also fosters a compassionate understanding of those living with mental health challenges, disabilities or navigating substance use.