Hearing impaired men and women generally have an increased likelihood of drug abuse issues because of their impairment, and rehabilitation services should be available which serves their circumstances. Those who are hearing impaired can feel alone, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that accompany having this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may try and hide their issue due to social stigmas that come with substance abuse. Having said that, alcohol and drug treatment counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions in order that treatment clients can know they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services can be more tailor-made for each person to ensure that their unique challenges can be treated in treatment.