Hearing impaired men and women tend to have an elevated likelihood of substance abuse issues because of the impairment, and rehab services must be available which cater to their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and be without goals due to their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological challenges that come with having this handicap in life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, since these individuals may try and hide their issue because of social stigmas attached to abusing drugs. Nonetheless, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges 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 venue for important peer support in order that rehab clients can know they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services may be more tailor-made for each individual so that their own personal challenges can be handled in rehabilitation.