Hearing impaired men and women tend to have a heightened likelihood of substance abuse issues because of their impairment, and treatment services should be available to them which serves their needs. Individuals who are hearing impaired can seem to be isolated, unmotivated, and goalless for their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional challenges that come with having this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may make an attempt to hide their issue due to social stigmas attached to substance abuse. Having said that, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions so that rehab clients can know that they're not on their own, and that there's hope to resolve their challenge with drugs and alcohol. Individual counseling services can be more tailored for each individual so that their particular problems can be handled in treatment.