Hearing impaired men and women tend to have an increased risk of drug abuse issues because of the impairment, and treatment services must be available to them which serves their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that come with having this handicap in daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their issue because of social stigmas attached to substance abuse. Having said that, drug and alcohol treatment counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are definitely a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support in order that treatment clients can know that they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services may be more tailor-made for each person to ensure their own personal challenges can be handled in rehabilitation.