Hearing impaired men and women tend to have a greater probability of substance abuse issues because of the impairment, and treatment services have to be at hand which cater to their circumstances. Those who are hearing impaired can appear alone, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol 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 drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their problem because of social stigmas attached to substance abuse. Nonetheless, alcohol and drug rehab counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support to ensure that rehab clients can know they are not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services can be more tailored for each individual to ensure their own challenges can be treated in rehab.