Hearing impaired men and women generally have an elevated risk of substance abuse issues because of their impairment, and treatment services have to be at hand which serves their circumstances. Individuals who are hearing impaired can seem to be alone, unmotivated, and goalless due to their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that come with having this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their issue as a result of social stigmas that come with drug use. Nonetheless, drug and alcohol treatment counselors who offer rehab to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a must, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions to ensure that treatment clients can know that they are not on their own, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services may be more tailor-made for each individual to ensure that their unique problems can be remedied in rehab.