Hearing impaired men and women generally have a heightened risk of drug abuse issues due to their impairment, and treatment services have to be available to them which serves their needs. People who are hearing impaired can seem to be isolated, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional challenges that come with having this handicap in everyday life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may try and hide their issue because of social stigmas that come with drug use. Nonetheless, drug rehabilitation counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support to ensure treatment clients can know that they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services may be more tailored for each person to ensure their own problems can be treated in rehabilitation.