Hearing impaired men and women generally have an elevated likelihood of drug use issues because of their impairment, and treatment services should be available to them which cater to their circumstances. Those who are hearing impaired can seem to be isolated, unmotivated, and be without goals for their 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 problems that come with possessing this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may try and hide their issue due to social stigmas that come with substance abuse. Having said that, drug treatment counselors who provide rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support to ensure rehab clients can know they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services may be more tailor-made for each person to ensure their unique challenges can be handled in rehab.