Hearing impaired men and women generally have a greater likelihood of substance abuse issues due to their impairment, and rehabilitation services have to be available which cater to their circumstances. Those who are hearing impaired can appear alone, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany possessing this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may try and hide their problem because of social stigmas that come with drug use. However, drug rehabilitation 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 unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure rehab clients can know that they're not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services might be more tailored for each individual to ensure their own personal problems can be treated in rehab.