Hearing impaired men and women tend to have a heightened risk of substance abuse issues due to their impairment, and treatment services have to be available which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, unmotivated, 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 problems that come with having this handicap in life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their problem as a result of social stigmas attached to substance abuse. Having said that, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a necessity, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions to ensure that treatment clients can know that they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services might be more tailor-made for each person to ensure that their own problems can be addressed in treatment.