Hearing impaired men and women tend to have an increased probability of substance abuse issues due to their impairment, and rehabilitation services have to be available which cater to their circumstances. Individuals who are hearing impaired can feel alone, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological problems that accompany having this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may attempt to hide their problem because of social stigmas that come with drug abuse. However, drug and alcohol treatment counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support to ensure rehab clients can know that they are not on their own, and that there's hope to handle their problem with alcohol and drugs. Individual counseling services may be more tailored for each person to ensure that their unique challenges can be addressed in rehab.