Hearing impaired men and women tend to have an increased likelihood of drug use issues because of their impairment, and treatment services must be at hand which cater to their circumstances. Those who are hearing impaired can appear alone, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional challenges that accompany having this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may make an attempt to hide their issue due to social stigmas attached to substance abuse. However, alcohol and drug rehab counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL rehab services are definitely a must, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer support so that treatment clients can know that they are not on their own, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services could be more tailor-made for each individual to ensure their own personal challenges can be treated in treatment.