Hearing impaired men and women generally have a heightened likelihood of drug use issues because of the impairment, and treatment services should be available which cater to their circumstances. Those who are hearing impaired can appear alone, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that accompany possessing this handicap in daily life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their problem due to social stigmas attached to drug use. Nonetheless, alcohol and drug rehabilitation counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions to ensure that treatment clients can know that they are not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services could be more tailor-made for everybody to ensure their particular challenges can be treated in rehabilitation.