Hearing impaired men and women tend to have a heightened chance of substance abuse issues due to their impairment, and treatment services must be available which cater to their circumstances. People who are hearing impaired can appear alone, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany possessing this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their problem because of social stigmas attached to drug use. Nonetheless, drug and alcohol treatment counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions to ensure rehab clients can know that they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services might be more tailored for everybody so that their unique challenges can be handled in rehabilitation.