Words that keep the door open
Safety & Harm Reduction — Guide 4 of 25

The words we choose can make a conversation feel safer. Describe the person and the situation with care.

Use respectful language
- Try “person who uses drugs” rather than a demeaning label.
- Try “person with a substance use disorder” when a diagnosis is relevant.
- Describe a test as “positive” or “negative” rather than “dirty” or “clean.”
- Try “returned to use” rather than language that suggests a person has failed.

Let people describe themselves
People may use different words for their own experiences. Respect that choice without assuming the same label fits everyone. Avoid diagnosing someone based on their appearance, housing, or one incident.

Educate others with a specific example
Instead of “You are irresponsible,” try “I’m worried because you were difficult to wake last night.” Explain why the change matters: it names the concern and keeps the door open to help. If you hear a harmful label, offer a respectful alternative. Ask what language the person prefers, especially in written records or public stories.

If you are helping someone
Use respectful language even when you disagree with someone’s choice.

WARN (OTHERS): After immediate care is covered, share dated advisories or observed concerns. Say what is confirmed and what is uncertain. Protect people’s privacy. Emergency care comes first. Never share someone’s name, identifying photo or private health details.

Your next step
Rewrite one sentence so it describes a concern without reducing someone to it.

Learn more
NIDA — Words matter
https://nida.nih.gov/sites/default/files/nidamed_words_matter_508.pdf

Current guide: https://therealdopeproject.com/safety-guides/words-that-keep-the-door-open

The Real DOPE Project — Safety Is for Everyone.

Contact: therealdopeproject@gmail.com

Resource text updated: 2026-10-13. Earlier sources retain their individual review dates.

General education, not individual medical advice or first aid certification. In an emergency, call 911 and follow the dispatcher and your exact kit instructions.

Free to share and print. Keep instructions, source links, dates and TRDP credit intact. Check the current web page before reprinting.