Hearing impaired men and women tend to have a heightened likelihood of drug use issues due to their impairment, and treatment services have to be available to them which serves their circumstances. Individuals who are hearing impaired can appear isolated, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that come with having this handicap in daily life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their problem because of social stigmas attached to drug use. However, drug treatment counselors who provide rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are definitely a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure treatment clients can know that they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services might be more tailor-made for everybody to ensure their own challenges can be handled in rehab.