Hearing impaired men and women tend to have a heightened likelihood of drug use issues because of the impairment, and treatment services should be available to them which serves their circumstances. Those who are hearing impaired can seem to be alone, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany possessing this handicap in everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may make an attempt to hide their problem due to social stigmas that come with drug use. However, drug treatment counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are definitely a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure rehab clients can know they are not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services might be more tailored for each person so that their own challenges can be handled in rehab.