Hearing impaired men and women generally have a heightened probability of substance abuse issues because of their impairment, and treatment services have to be available to them which serves their circumstances. Individuals who are hearing impaired can appear alone, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that come with possessing this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may attempt to hide their problem because of social stigmas attached to substance abuse. Nonetheless, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure treatment clients can know they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services may be more tailor-made for each person to ensure their particular challenges can be addressed in rehabilitation.