Hearing impaired men and women tend to have a heightened chance of drug use issues due to their impairment, and treatment services should be available which serves their circumstances. People who are hearing impaired can feel isolated, unmotivated, and goalless due to their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional problems that accompany having this handicap in everyday life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, as these individuals may make an attempt to hide their issue because of social stigmas that come with substance abuse. However, drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support so that treatment clients can know that they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services might be more tailored for each person to ensure their particular challenges can be remedied in rehab.