In general, when referring to a hierarch, His is often used (e.g. His All Holiness, Bartholomew, Archbishop of Constantinople, New Rome and Ecumenical Patriarch , visited Tarpon Springs, Florida in January of 2006). When An English speaking to a hierarch can be addressed "Your is often used (..", such as "Your Eminence, I'm so glad to see you!)".

Throughout the Slavonic Churches, all bishops of whatever rank are usually addressed as Vladyka, when face to face, or when spoken about. Throughout the Antiochian Churches, except for most parts of North America, all bishops of whatever rank are usually addressed as Sayidna, when face to face, or when spoken about, for instance "But Sayidna told me...". Within the Romanian jurisdictions, all bishops of whatever rank are usually addressed to their face as "Domnus".  Bishop [[Tikhon (Fitzgerald) bishop of San Francisco and Los Angeles|Tikhon (Fitzgerald) of San Francisco and the West]] ([[OCA]]) , who retired in 2007, wrote a short memo on the [http://www.holy-trinity.org/general/conventions.html ''Conventions of writing to a hierarch''].