Hearing impaired men and women tend to have an elevated likelihood of substance abuse issues because of the impairment, and treatment services should be available which serves their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and be without goals because of 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 problems 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 usually a challenge, as these individuals may attempt to hide their issue as a result of social stigmas attached to substance abuse. Having said that, drug treatment counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer support so that rehab clients can know that they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services could be more tailored for each individual to ensure that their unique challenges can be remedied in treatment.