Hearing impaired men and women tend to have a greater probability of drug abuse issues because of their impairment, and treatment services should be available which serves their circumstances. Those who are hearing impaired can feel alone, unmotivated, and goalless due to their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany having this handicap in daily life. To start with, detecting a drug and alcohol 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 substance abuse. Nonetheless, drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL treatment services are of course a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer support to ensure treatment clients can know that they're not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services may be more tailor-made for each person so that their own personal challenges can be addressed in treatment.