In this article I discuss how drug counselling can be transformed through "aesthetic documentation": a hybrid of art with narrative practice. After outlining the concepts of performance and standards, and a critique of "customising" counselling through formalised feedback, five claims are made about "aesthetic documentation": The art works are prototypes rather than rigid standardisations; they represent collaboration rather than individualised performance; they both display and enact substantial meaning; they objectify and achieve recognition of clients and professionals; they facilitate flexible, diverse and transformative attributions of meaning and value; they address social problems rather than individualised malfunctions. This may help overcoming stigmatisation, and suggest a kind of trans-disciplinary knowledge that is different from the dominant scientific forms.