Hearing impaired men and women tend to have a greater risk of drug abuse issues because of the impairment, and treatment services have to be available which cater to their needs. People who are hearing impaired can feel isolated, unmotivated, and goalless for their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that come with having this handicap in everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may try and hide their problem as a result of social stigmas attached to drug abuse. Nonetheless, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a must, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions so that treatment clients can know that they are not on their own, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailored for everybody so that their own personal challenges can be remedied in rehab.