Hearing impaired men and women generally have a greater chance of substance abuse issues because of the impairment, and treatment services must be at hand which serves their needs. Individuals who are hearing impaired can feel alone, lack motivation, and goalless for their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary escape 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 is often a challenge, as these individuals may try and hide their problem as a result of social stigmas that come with abusing drugs. Nonetheless, drug and alcohol treatment counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are definitely a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions to ensure that rehabilitation clients can know that they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services could be more tailored for everybody to ensure that their particular problems can be addressed in treatment.