Hearing impaired men and women tend to have a greater chance of drug abuse issues due to their impairment, and treatment services have to be available to them which cater to their needs. People who are hearing impaired can seem to be isolated, unmotivated, and be without goals due to their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional challenges that accompany having this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, as these individuals may try to hide their problem as a result of social stigmas attached to abusing drugs. However, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions in order that treatment clients can know they are not alone, and that there's hope to handle their problem with alcohol and drugs. Individual therapy services might be more tailored for each individual so that their particular challenges can be treated in treatment.