Hearing impaired men and women tend to have an increased chance of drug abuse issues because of the impairment, and treatment services should be available which cater to their circumstances. People who are hearing impaired can feel alone, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany having 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 problem as a result of social stigmas that come with substance abuse. Nonetheless, alcohol and drug rehab counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy gives 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 could be more tailored for everybody so that their own personal challenges can be handled in rehabilitation.