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Schizophrenia and substance use disorders can carry a lot of stigma, which often stops people from seeking help.

Starting conversations in a way that doesn’t judge or shame can be really important for building trust and encouraging open communication.

Using neutral and supportive language, avoiding labels, and focusing on how they’re feeling or what they’re experiencing can make them more comfortable with getting help. This approach helps reduce feelings of shame and makes them more receptive to support.

Language can make a big difference in how someone feels.

Referring to them as a person first – like “a person with schizophrenia” or “someone facing substance use challenges” – can show respect and acknowledge their individuality rather than focusing solely on their condition.

Talking about specific behaviors or feelings instead of labels can make conversations feel more supportive.

  • For example, sharing something like, “I’ve noticed you seem worried about things lately. Do you feel like talking about it?” can create space for dialogue without making it about a diagnosis.

Using neutral terms that describe what someone is experiencing can feel less judgmental.

  • For example, saying “using substances” instead of “abusing drugs” keeps the focus on the situation rather than attaching negative connotations.

Acknowledging their feelings, even with simple phrases like “That sounds really tough” or “I can see how that might feel overwhelming” can help them feel heard and valued.

It’s a way of showing that their struggles are valid without minimizing their experience.

Using collaborative language, like “How can we work on this together?” or “Let’s see what might make this feel more manageable” reinforces the idea that they’re not alone.

This shifts the focus to working together, empowering and building trust.

Example dialogue about non-stigmatizing communication

Caregiver: “I know things have been really challenging, and I’m here to support you in whatever way feels right. If you’re comfortable, would you like to share how you’ve been feeling lately?”

Individual: “Sometimes I feel like nobody understands. I hate feeling like I’m just seen as my diagnosis.”

Caregiver: “That must feel isolating, and I understand that you’re so much more than any diagnosis. Let’s focus on what’s going on for you day-to-day. What’s been most on your mind lately?”

This approach helps the person feel seen beyond their diagnosis, which can build trust and encourage more open, positive interactions about their experiences and needs.

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