Hearing impaired men and women tend to have an increased chance of substance abuse issues because of their impairment, and rehabilitation services must be at hand which cater to their circumstances. People who are hearing impaired can seem to be alone, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological problems that accompany possessing this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may attempt to hide their problem because of social stigmas attached to abusing drugs. Nonetheless, drug rehabilitation counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions in order that treatment clients can know that they're not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services may be more tailored for each person to ensure their particular challenges can be treated in rehabilitation.