Hearing impaired men and women tend to have an increased chance of substance abuse issues because of the impairment, and treatment services should be available which serves their circumstances. Individuals who are hearing impaired can appear isolated, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany having this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may make an attempt to hide their issue due to social stigmas attached to drug use. However, drug and alcohol rehab counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are definitely a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure that rehab clients can know that they are not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services might be more tailored for each individual to ensure that their own personal challenges can be treated in treatment.