Hearing impaired men and women generally have a greater likelihood of substance abuse issues because of the impairment, and treatment services must be available to them which serves their needs. People who are hearing impaired can appear isolated, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that come with having this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may attempt to hide their issue because of social stigmas attached to drug abuse. Nonetheless, drug and alcohol treatment counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a necessity, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions in order that treatment clients can know that they are not alone, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services could be more tailor-made for each person to ensure that their own challenges can be addressed in rehab.