Hearing impaired men and women generally have an increased probability of substance abuse issues because of their impairment, and treatment services must be available to them which cater to their needs. Those who are hearing impaired can seem to be alone, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that accompany possessing this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may make an attempt to hide their issue due to social stigmas attached to drug abuse. Having said that, drug rehabilitation counselors who offer treatment 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 gives a venue for important peer support to ensure rehab clients can know that they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services could be more tailor-made for each individual so that their particular challenges can be handled in rehab.