Hearing impaired men and women generally have a heightened probability 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 feel isolated, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then choose 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 life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their problem due to social stigmas that come with abusing drugs. Having said that, drug rehabilitation counselors who provide rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are definitely a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support so that treatment 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 might be more tailor-made for each person to ensure their particular problems can be handled in rehab.