Hearing impaired men and women generally have a heightened probability of substance abuse issues due to their impairment, and rehab services should be available to them which serves their circumstances. People who are hearing impaired can seem to be alone, unmotivated, and goalless for their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that come with possessing this handicap in daily life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their problem because of social stigmas attached to abusing drugs. Nonetheless, alcohol and drug rehab counselors who provide treatment to hearing impaired individuals understand 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 face. Group therapy offers a forum for important peer support so that treatment clients can know that they're not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services can be more tailor-made for each person to ensure that their own personal challenges can be addressed in treatment.