Hearing impaired men and women generally have a greater probability of substance abuse issues because of the impairment, and treatment services should be at hand which serves their circumstances. People who are hearing impaired can appear isolated, lack motivation, and be without goals because of the impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological problems that accompany possessing this handicap in daily life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their issue because of social stigmas that come with abusing drugs. Nonetheless, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support to ensure rehab clients can know that they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services may be more tailor-made for each individual to ensure that their unique problems can be handled in rehabilitation.