Hearing impaired men and women tend to have an elevated chance of substance abuse issues due to their impairment, and treatment services must be available to them which cater to their circumstances. Individuals who are hearing impaired can seem to be isolated, lack motivation, and be without goals because of the impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological problems that come with having this handicap in everyday life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their problem because of social stigmas attached to drug use. Nonetheless, alcohol and drug rehab counselors who provide rehab to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are definitely a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support so that rehab clients can know they are not alone, and that there's hope to resolve their challenge with alcohol and drugs. Individual counseling services could be more tailor-made for everybody to ensure their particular problems can be addressed in treatment.