Hearing impaired men and women generally have an increased chance of substance abuse issues because of the impairment, and treatment services have to be available which cater to their circumstances. People who are hearing impaired can feel alone, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological problems that accompany having this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may try to hide their issue as a result of social stigmas that come with drug use. Nonetheless, drug 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 rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support to ensure treatment clients can know that they're not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services may be more tailor-made for each individual so that their unique challenges can be addressed in treatment.