Hearing impaired men and women tend to have an increased probability of drug abuse issues because of their impairment, and treatment services must be available which serves their circumstances. Individuals who are hearing impaired can seem to be alone, unmotivated, and be without goals due to their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological problems that accompany possessing this handicap in everyday life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, as these individuals may try to hide their issue due to social stigmas that come with substance abuse. However, drug rehabilitation counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions so that rehab clients can know that they are not on their own, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services can be more tailored for everybody to ensure that their particular challenges can be remedied in treatment.