Hearing impaired men and women tend to have an increased probability of drug abuse issues because of the impairment, and treatment services must be at hand which cater to their circumstances. Those who are hearing impaired can feel isolated, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological challenges that come with having this handicap in life. In the first place, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may make an attempt to hide their issue due to social stigmas that come with drug use. However, alcohol and drug treatment counselors who offer rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are of course a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support in order that rehab clients can know they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services may be more tailor-made for everybody to ensure their own challenges can be remedied in rehab.