Designing for people who don’t want to be labelled

An AI health product had a website nobody understood. The redesign was the easy part. The work was learning what the word "addiction" does to someone about to ask for help.

Some final screens are under NDA. The work shown here is concept and wireframe stage.

Client

Curb.Health
AI addiction support

My role

UX strategy, research,
IA, UI design

Team

Me + 1 researcher
Client: psychiatrist

Timeline

6 weeks
2024

Research

30 interviews
40 usability tests

Three mockups of the Curb app shown on iPhone screens, each displaying a different page.

The situation

A colleague from my design academy introduced me to Curb.Health, an app that helps people manage alcohol cravings, combining AI with real clinical support.

The product was strong. The website wasn’t working.

They had a landing page collecting early sign-ups, and almost nobody was signing up. The traffic they did have came mostly from the founder’s own network, friends and family, not real demand. For a pre-launch product, that’s a serious problem: no early users means no evidence the thing is wanted.

The brief I was given: improve the onboarding.

What I found instead: the page didn’t have an onboarding problem. It had an identity problem.

What was actually wrong

I ran a competitive audit and a heuristic review of the existing site before touching anything. Three things stood out:

It was speaking to everyone, so it reached no one. The page tried to address people seeking help, clinicians, and employers all at once. Nothing was aimed at anybody.

You couldn’t tell what the product did. The copy was generic. The app’s actual functions and benefits weren’t visible.

It didn’t feel like a product. When we later tested the original site, one participant summed it up better than my whole audit had:

“It’s like a newsletter, more than a product.”
Old client's website

So the real question wasn’t “how do we improve onboarding.” It was: who is this for, and why would they trust it?

Getting to real users (the hard part)

The client had research, but it was product-development data, gathered for building the app, not for understanding how someone arrives at a website in the first place.

I pushed for direct access to patients. That was not an easy conversation. We were asking a psychiatrist to let two designers speak to vulnerable people about the most difficult thing in their lives.

So we built the safeguards first.

Before we approached a single participant, we worked with the product owner, a practising psychiatrist, to establish a vetting and safeguarding process for the research. The specifics are covered by NDA, but the principle wasn’t complicated: people discussing the hardest thing in their lives deserve protection, and we weren’t going near them until that was in place. My colleague led on the methodology; I built the research strategy around it.

That work is the only reason we got access. It’s also the part of this project I’m proudest of, and the part I’d want any team hiring me to know about.

What we ran:

  • Around 40 participants across two rounds of interviews former patients and potential users, recruited through our network to fit the profile
  • 40 participants across two rounds of usability testing (20 per round)
  • 30 participants across two rounds of interviews. Former patients and potential
    users, recruited through our network to fit the profile.
  • Competitive audit and heuristic review of the existing site

We focused on end users rather than clinicians or employers for the first round, including four former patients alongside people who’d never encountered the product. That mix mattered: former patients knew the journey, and unfamiliar participants showed us how the page actually reads to someone arriving cold.

Affinity Map

Affinity mapping after user interviews and user testing
Synthesis from 30 interviews — clustered into ten need areas. Three clusters drove the entire design: vulnerability, credibility, and the language people rejected.
zoomed in of affinity map in Validation, credibility.
The two clusters that mattered most. "I need to be able to trust the service" became the principle everything else hung off.

Individual user journey: how people currently look for help

Mapped from the interviews, before any design work began.

DISCOVERY EVALUATION ADOPTION OUTCOME Wants to deal with cravings Researches apps, reads reviews Tries free trials if available Judges usability abandons if poor Sets up profile, inputs triggers Tracks progress is it working? Cravings reduce, habits hold Shares success, helps others Doesn't work → seeks support → consults a professional the loop most people go round more than once Solid = the path people hope for · dashed = what actually happens for most

This is how someone actually goes looking for help before they ever reach a product. The dead ends and loops are the point. People abandon, restart, and often reach a professional only after several failed attempts. This journey shaped what the landing page needed to do.

What people told us

I expected to hear about features. I heard about shame.

“I almost lost my family and career because of my addiction — especially alcohol, which is so culturally acceptable and invisible at the same time.”

Three things came up again and again:

1. Labels stop people before they start.

Emma, 34, held back from reaching out for support because she didn’t want to be labelled. That’s not a copy preference. That’s someone not getting help because of a word.

2. The language of this industry is confusing and cold.

Mark, 45, described how hard it was to find proper help, the words and definitions on support websites made it harder, not easier. Stephen, 30, said that when your situation isn’t the “common” one, the information simply isn’t there.

3. Trust has to come before anything else is asked of you.

Susan, 37, was sceptical of the standard route, she didn’t want to just be handed pills, she wanted to understand what was happening to her. People here are making themselves vulnerable. Nothing works until they feel safe.

User persona diagram showing Bio, Goals and Frustrations.
The persona we built from the interviews. Claire is not one participant, she is the pattern across all of them: stigma, privacy, and the word "cravings" already in people's own vocabulary.

The moment that changed how I thought about the whole project: during one interview, a participant became very emotional. It was hard to stay composed. Until then I’d been treating addiction as the problem to design around. Watching her, I understood it differently, addiction is often a response to something deeper, and it can happen to anyone. That reframed every decision I made afterwards.

From insight to decision

Four research findings, the design decision each one produced, and why it mattered.
What we learned What I designed Why it mattered
People reject the label "addict". Stigma stops them asking for help Reframed the language around cravings, wellbeing and support Removed the barrier standing between someone and the sign-up
One page speaking to three audiences reached none of them Separate journeys for individuals, clinicians and employers Each visitor gets a page that speaks to their actual situation
Trust is a prerequisite, not a nice-to-have Surfaced clinical credibility and privacy early and plainly People need to feel safe before they'll share anything
Visitors couldn't tell what the product did Made the app's function and benefit explicit and specific Removed the "what is this?" bounce

On the language decision: this wasn’t a copywriting flourish. Users who struggled with alcohol rejected “addict” and “addiction” because of what those words cost them socially and professionally. There’s also a lot of denial early on. “Cravings” describes something a person can accept and act on today. Reaching people mattered more than being clinically precise on a homepage.

On the trust signals: the credibility was already there, it just wasn’t visible. The product owner is a psychiatrist with years of clinical experience in addiction, and the company was backed by NHS Oxford University Hospital, the University of Cambridge Judge Business School, Barclays Eagle Labs, Innovate UK and The Hill. None of that was doing any work on the old page. Users had told us plainly that they needed proof of legitimacy before sharing anything, so I brought those signals forward and paired them with plain-language privacy wording, the answer to “can I trust you with this?” placed exactly where people were deciding.

On splitting the audiences: the decision was to stop asking one page to do three jobs. A clinician's questions are not an individual's, and neither of them is an employer's. Here is what that looked like once it was built.

diagram of three pages for three different audiences.
Three audiences, three pages. Not the same page with different words: different promises, different evidence, different reasons to act.
image with three different homepages in detail.
The same three pages up close. Each hero opens with what that audience needs first, and asks for a different action: try it, talk to our clinical team, book a demo.

The disagreement, and how I settled it

Mid-project, the client changed the scope. He’d originally wanted a single, minimal page for end users. Now he wanted clinicians and employers included too.

I argued for separate pages per audience. He wanted to keep it minimal and combined. We disagreed for a while.

Rather than keep debating, I built both and tested them.

comparative image showing website A wireframe and mockup
Version A: the control. I optimised the client's existing site to a bare minimum, keeping its styling, its hero message and its single combined page, and fixing only what stopped people getting through it. A weakened copy of the client's approach would have proved nothing. Percentages in both versions are placeholders: the original site showed no evidence at all, so part of the proposal was showing where credibility figures belong.
comparative image showing website B wireframe and mockup
Version B: our proposal. Three pages, one per audience, each opening with a hero section that says what Curb does, a single clear call to action, and app screens so visitors could see the product rather than read about it. Onboarding was rebuilt around the same idea. All of it came from the competitive audit, the interviews and testing the original site.

Percentages shown are placeholder. The original site offered no supporting evidence at all, so part of the proposal was showing where credibility figures should sit once the client had them.

The users decided it. The separated version performed better, and I had evidence instead of an opinion. The client came on board, and the research also showed the multi-audience
approach made the site more credible to clinicians and employers, because it
addressed them on their own terms.

Twenty people tested in this round. Most used both versions in the same session, so the comparison is like for like. Six were returning participants from the first round, which let me check whether the changes had fixed what they struggled with before.

My hypothesis before testing: users would complete tasks faster in Version A, because its layout was more streamlined.

They did not. Version B won every measure I had set.

Results of the A and B comparison, tested with twenty participants. Version B scored higher on all three measures: ease of use, visual design preference and feature preference.
What I measured Version A Version B
Comparative ease of use Rated it easier to navigateaverage rating, 1 to 10 6.4 9
Visual design preference Found it more visually appealing 6of 20 14of 20
Feature preference Preferred what it offered 4of 20 16of 20

Neither version produced a single error, and no participant was confused by either. The difference was not that one version worked and the other did not. It was that people understood who Version B was for.

comparative image of old website left and new website with new navigation bar.
The original nav said nothing about who Curb was for. The optimised version names the three audiences directly, so visitors stop reading content aimed at someone else. Structure validated through tree testing.

Four changes, each answering something users had told us:

  • "Home" and "About" removed : generic labels that told a visitor nothing
  • "What is Curb?" added : answering the first question almost everyone asked
  • "For clinicians" and "For employers" added : each audience named, each with its own journey
  • A one-line product explanation added beneath the headline, previously absent entirely
  • And I got a version of the same lesson pointed back at me. My first mockup was too long, the client said so, and user testing agreed with him, not me. So I restructured it: instead of one long page, three shorter ones, each built around a single audience. He was right about the length; the research was right about the structure. Both things could be true.

    What testing showed

    We tested the existing site first to establish a baseline, then tested our design against it. Same tasks, same script, same conditions, so any difference could only come from the design.

    How we ran it: two rounds, 20 participants each. For the second round I deliberately used a mix of returning and new participants, returning ones could tell us whether the changes actually fixed what they'd struggled with, and fresh eyes stopped us fooling ourselves with people who'd already learned the product.

    We watched for four things: whether people could complete the core tasks, whether they could find what they were looking for, how long it took them to get there, and the one that mattered most, whether they understood what this product actually was.

    On the existing site

    People were confused within seconds. They didn’t engage with the content, scrolled without stopping, and couldn’t articulate what was being offered or who it was for. Several assumed it was a general information page rather than something they could sign up to.

    This was where the "newsletter" comment came from, and it reframed the brief. We weren't fixing an onboarding flow. We were fixing the fact that nobody knew what they'd arrived at.

    On our design

    The change we cared about most was comprehension: people could now say, unprompted, what the product did and whether it was for them. Selecting their own path, individual, clinician, or employer, meant they stopped reading content aimed at someone else.

    Task completion improved across the board. People found information without hunting for it, moved through the sign-up without hesitating, and importantly for this audience, the credibility and privacy signals landed at the moment people were deciding whether to trust us, rather than after.

    The onboarding stopped being something people read, and became something they moved through.

    How I know this

    Every claim above rests on evidence my colleague and I gathered ourselves, under controlled conditions. Here is what that took.

    30

    Interviews

    Moderated and remote, across two rounds. Four were former patients, and we only reached them because we built the safeguarding protocol with the client's psychiatrist first.

    40

    Usability participants

    Two rounds of 20. Round two deliberately mixed returning and new participants, so improvement could be separated from people simply having learned the product.

    10

    Need areas

    Clustered from the interviews. I designed against three and consciously left the other seven, because a page that answers everything answers nobody.

    2

    Homepages built and tested

    The client and the research disagreed. Rather than win the argument, I built both versions in full and tested them against the existing site as a control.

    The information architecture was validated separately by tree testing, before a single screen was designed. Every figure here is something I ran, not something I was handed.

    On what I can and can’t claim. These are qualitative findings from my own moderated testing with 40 participants, not live analytics. The design was built, with some changes made by the client after handover, but I had no access to post-launch data and I’m not going to invent it. What I can stand behind is what I watched 40 people do, twice, under the same conditions. I’d rather show you evidence I gathered myself than a number I can’t source.

    What I’d do differently

    Test earlier and with even more people. We did a lot of research, but I’d front-load more of it, some of what we learned in round two would have saved rework if we’d known it in week one.

    Design a more interactive onboarding. What we delivered was clear and calm. With more time I’d make the first-run experience more guided and responsive, rather than a page you read.

    What this project taught me (and where it applies)

    Words are interface. In a sensitive context, a single noun can be the difference between someone signing up and someone closing the tab. That’s true anywhere users feel exposed, health, money, legal, anything personal.

    Trust is a design deliverable, not a brand adjective. Credibility signals, privacy language, and what you ask for and when, those are design decisions with measurable consequences.

    Evidence ends arguments. The fastest way through a stakeholder disagreement wasn’t a better argument. It was building both versions and putting them in front of users.

    Access is something you earn. We got to speak to vulnerable people because we built the safeguarding first. Doing the ethical work properly wasn’t a constraint on the research, it was the thing that made the research possible.

    Credibility you don’t show doesn’t exist. This company had NHS and Cambridge backing and users still didn’t trust the page. Legitimacy has to be visible at the moment of doubt, not buried in an About page.

    If this is the kind of thinking your team needs

    I am looking for a UX/UI role in London. I would like to hear from you.

    Or email me directly: emsrod.design@gmail.com