Hearing impaired men and women tend to have an elevated risk of substance abuse issues because of the impairment, and treatment services must be at hand which serves their circumstances. Those who are hearing impaired can seem to be isolated, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional problems that come with possessing this handicap in everyday life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their problem due to social stigmas attached to drug abuse. However, drug treatment counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure that treatment clients can know that they are not on their own, and that there's hope to resolve their problem with alcohol and drugs. Individual therapy services can be more tailor-made for each person so that their own challenges can be addressed in treatment.