Hearing impaired men and women generally have an increased likelihood of drug use issues because of the impairment, and treatment services must be available to them which serves their needs. People who are hearing impaired can appear isolated, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that come with possessing this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their issue as a result of social stigmas attached to substance abuse. However, drug treatment counselors who offer treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions so that treatment clients can know that they're not on their own, and that there's hope to resolve their challenge with alcohol and drugs. Individual therapy services may be more tailor-made for each individual so that their particular challenges can be handled in rehab.