Hearing impaired men and women generally have an increased likelihood of drug use issues because of the impairment, and treatment services should be at hand which serves their needs. Those who are hearing impaired can seem to be alone, unmotivated, and goalless due to their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological challenges that come with possessing this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may make an attempt to hide their problem as a result of social stigmas attached to drug abuse. Having said that, alcohol and drug rehabilitation counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a must, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support to ensure rehabilitation clients can know that they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services could be more tailor-made for each person to ensure that their particular problems can be treated in rehab.