Hearing impaired men and women generally have an elevated risk of drug abuse issues due to their impairment, and treatment services have to be available which serves their circumstances. Those who are hearing impaired can appear isolated, lack motivation, and goalless for their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that accompany having this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may try to hide their issue because of social stigmas that come with drug use. However, drug and alcohol rehabilitation counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support to ensure that treatment clients can know that they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services can be more tailored for everybody to ensure their own challenges can be addressed in rehabilitation.