Hearing impaired men and women tend to have a heightened probability of substance abuse issues because of the impairment, and treatment services should be available which cater to their needs. Those who are hearing impaired can seem to be isolated, unmotivated, and be without goals for their impairment. Some 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 begin with, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may make an attempt to hide their problem because of social stigmas that come with drug use. Having said that, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are definitely a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support so that treatment clients can know they are not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services may be more tailor-made for each person so that their own challenges can be addressed in treatment.