Hearing impaired men and women tend to have an increased likelihood of substance abuse issues due to their impairment, and treatment services must be at hand which cater to their circumstances. People who are hearing impaired can seem to be alone, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional challenges that come with possessing this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may make an attempt to hide their issue because of social stigmas that come with drug abuse. Nonetheless, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support to ensure 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 could be more tailor-made for everybody so that their particular challenges can be handled in rehab.