Hearing impaired men and women tend to have an increased likelihood of drug abuse issues because of the impairment, and rehab services have to be available which serves their circumstances. Those who are hearing impaired can feel alone, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that accompany having this handicap in everyday life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their problem because of social stigmas that come with substance abuse. However, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a necessity, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support to ensure that treatment clients can know that they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services may be more tailored for everybody so that their own personal challenges can be addressed in rehab.