Hearing impaired men and women generally have a greater chance of drug abuse issues because of their impairment, and treatment services must be at hand which cater to their needs. Those who are hearing impaired can seem to be alone, unmotivated, and be without goals because of the impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany having this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their issue as a result of social stigmas that come with drug use. However, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions to ensure rehab clients can know they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services may be more tailored for each person so that their own challenges can be addressed in treatment.