Hearing impaired men and women generally have a heightened risk of substance abuse issues because of their impairment, and treatment services must be available which cater to their circumstances. People who are hearing impaired can feel alone, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that come with possessing this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their problem because of social stigmas that come with drug abuse. However, drug treatment counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions to ensure that treatment clients can know that they are not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services can be more tailor-made for each individual so that their own problems can be remedied in rehab.