Hearing impaired men and women generally have an increased likelihood of substance abuse issues due to their impairment, and rehabilitation services should be available to them which serves their circumstances. Individuals who are hearing impaired can appear alone, unmotivated, and goalless because of their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that come with having this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, because these individuals may make an attempt to hide their problem because of social stigmas that come with abusing drugs. However, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support to ensure treatment clients can know that they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services may be more tailor-made for everybody to ensure that their particular problems can be remedied in rehab.