Hearing impaired men and women tend to have a greater likelihood of substance abuse issues because of the impairment, and treatment services must be available to them which cater to their circumstances. People who are hearing impaired can appear alone, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that accompany possessing this handicap in life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may try and hide their issue as a result of social stigmas attached to abusing drugs. Nonetheless, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides 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 drugs and alcohol. Individual counseling services could be more tailored for each person to ensure that their particular challenges can be remedied in treatment.