Hearing impaired men and women tend to have a heightened chance of substance abuse issues because of the impairment, and treatment services have to be available to them which cater to their circumstances. Individuals who are hearing impaired can feel alone, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological challenges that come with having this handicap in everyday life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, since these individuals may make an attempt to hide their issue as a result of social stigmas that come with substance abuse. Having said that, drug and alcohol rehab counselors who offer treatment to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions in order that rehabilitation clients can know they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services might be more tailor-made for each individual to ensure their own personal problems can be handled in treatment.