Hearing impaired men and women generally have an increased likelihood of substance abuse issues because of the impairment, and treatment services should be available to them which serves their circumstances. Those who are hearing impaired can seem to be isolated, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that come with having this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their issue as a result of social stigmas that come with substance abuse. Having said that, drug rehabilitation counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support in order that rehabilitation clients can know that they're not alone, and that there's hope to handle their problem with alcohol and drugs. Individual therapy services might be more tailored for each person to ensure their own challenges can be addressed in rehab.