Hearing impaired men and women generally have a greater likelihood of drug use issues because of their impairment, and treatment services should be available which cater to their needs. People who are hearing impaired can seem to be isolated, lack motivation, and goalless for their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological problems that come with possessing this handicap in everyday life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their problem as a result of social stigmas that come with substance abuse. Nonetheless, drug and alcohol treatment counselors who provide treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions to ensure rehabilitation clients can know they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services could be more tailored for everybody so that their particular problems can be addressed in rehabilitation.