Hearing impaired men and women tend to have a greater chance of drug use issues because of the impairment, and rehabilitation services must be available which cater to their circumstances. Those who are hearing impaired can appear isolated, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany possessing this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, because these individuals may try to hide their issue as a result of social stigmas that come with abusing drugs. However, drug and alcohol treatment counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are definitely a must, as are 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 they are not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services can be more tailored for each person to ensure that their unique problems can be handled in treatment.