Hearing impaired men and women tend to have an increased probability of drug use issues because of their impairment, and treatment services have to be available which serves their needs. Those who are hearing impaired can appear isolated, lack motivation, 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 have a temporary escape from the emotional and psychological problems that come with having this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their issue because of social stigmas attached to substance abuse. However, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions to ensure that treatment clients can know that they're not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services can be more tailored for each person to ensure their unique challenges can be addressed in rehab.