Hearing impaired men and women tend to have a greater likelihood of drug abuse issues because of the impairment, and treatment services should be at hand which serves their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany having this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may try to hide their issue as a result of social stigmas that come with drug use. Nonetheless, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a must, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions in order that rehabilitation clients can know that they're not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services can be more tailored for each person so that their particular challenges can be addressed in treatment.