Hearing impaired men and women generally have an elevated likelihood of substance abuse issues due to their impairment, and rehabilitation services must be available which serves their needs. Those who are hearing impaired can appear alone, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that come with possessing this handicap in daily life. In the first place, detecting a drug and alcohol 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 attached to abusing drugs. However, drug and alcohol treatment counselors who offer rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure that treatment clients can know that they're 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 challenges can be handled in rehab.