Hearing impaired men and women tend to have a greater probability of substance abuse issues due to their impairment, and treatment services must be available to them which serves their needs. Those who are hearing impaired can appear isolated, lack motivation, and be without goals due to their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional problems that accompany having this handicap in life. To begin with, detecting an alcohol and drug 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 abusing drugs. However, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are definitely a necessity, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions in order that rehab clients can know they are not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services may be more tailored for everybody to ensure their unique problems can be handled in rehabilitation.