Hearing impaired men and women generally have an increased likelihood of substance abuse issues because of their impairment, and rehabilitation services must be available to them which cater to their circumstances. Individuals who are hearing impaired can appear isolated, unmotivated, and be without goals due to their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany having this handicap in life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may make an attempt to hide their problem due to social stigmas attached to drug abuse. Nonetheless, drug rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support to ensure that rehabilitation clients can know that they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services might be more tailored for everybody to ensure that their particular problems can be handled in rehabilitation.