Hearing impaired men and women generally have a heightened chance of substance abuse issues because of the impairment, and treatment services must be available which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, unmotivated, and goalless for their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological problems that accompany having this handicap in life. In the first place, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may attempt to hide their problem due to social stigmas that come with abusing drugs. Nonetheless, alcohol and drug rehabilitation counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL treatment services are of course a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure treatment clients can know they are not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services can be more tailored for each person so that their particular challenges can be remedied in treatment.