Hearing impaired men and women generally have a heightened likelihood of substance abuse issues due to their impairment, and treatment services should be available to them which serves their needs. Those who are hearing impaired can appear alone, lack motivation, and goalless because of the impairment. Some 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 life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may try to hide their issue as a result of social stigmas that come with drug use. However, drug and alcohol rehabilitation counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions so that treatment clients can know that they're not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services could be more tailor-made for each person so that their unique problems can be treated in rehabilitation.