Hearing impaired men and women tend to have an elevated likelihood of drug abuse issues because of their impairment, and treatment services have to be available which cater to their needs. Individuals who are hearing impaired can appear alone, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that come with possessing this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their issue as a result of social stigmas attached to abusing drugs. Having said that, drug rehabilitation counselors who offer treatment to hearing impaired individuals comprehend 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 treatment clients can know that they're not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services could be more tailor-made for each individual to ensure their unique challenges can be remedied in treatment.