Hearing impaired men and women generally have a heightened risk of substance abuse issues due to their impairment, and treatment services have to be available which cater to their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and be without goals due to their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological challenges that come with having this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their problem due to social stigmas attached to substance abuse. Nonetheless, drug and alcohol treatment counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are definitely a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support to ensure treatment clients can know that they're not on their own, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services can be more tailored for each individual to ensure that their own personal challenges can be handled in rehabilitation.