Hearing impaired men and women generally have an increased risk of drug abuse issues because of their impairment, and treatment services should be available to them which cater to their circumstances. People who are hearing impaired can feel isolated, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that accompany having this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, because these individuals may make an attempt to hide their problem because of social stigmas attached to drug use. Having said that, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a necessity, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support to ensure rehabilitation clients can know they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailored for each individual to ensure their own challenges can be addressed in rehabilitation.