Hearing impaired men and women tend to have an elevated risk of drug use issues because of the impairment, and treatment services should be at hand which serves their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and goalless because of their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that come with possessing this handicap in life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, as these individuals may make an attempt to hide their problem because of social stigmas attached to drug use. Nonetheless, alcohol and drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions in order that treatment clients can know they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services could be more tailor-made for each person to ensure their unique challenges can be remedied in rehab.