Hearing impaired men and women generally have a greater chance of substance abuse issues due to their impairment, and rehabilitation services must be available to them which serves their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and goalless for their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional problems that come with having this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may attempt to hide their problem as a result of social stigmas attached to substance abuse. Nonetheless, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support so that treatment clients can know that they're not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services might be more tailored for each individual to ensure their own problems can be treated in treatment.