Hearing impaired men and women tend to have an elevated risk of substance abuse issues because of their impairment, and treatment services must be available to them which cater to their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and goalless because of the impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that come with having this handicap in daily life. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may try to hide their problem because of social stigmas that come with drug use. However, drug rehabilitation counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL rehab services are of course a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support so that treatment clients can know they are not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services could be more tailored for each individual to ensure that their unique problems can be addressed in rehabilitation.