Hearing impaired men and women tend to have an elevated likelihood of substance abuse issues due to their impairment, and treatment services should be available to them which cater to their circumstances. Individuals who are hearing impaired can feel isolated, lack motivation, and goalless for their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological challenges that come with having this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may try to hide their problem because of social stigmas attached to drug use. However, alcohol and drug rehabilitation counselors who provide rehabilitation to hearing impaired individuals see the challenges 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 forum for important peer support in order that rehab clients can know they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services could be more tailor-made for each individual so that their own problems can be remedied in rehabilitation.