Hearing impaired men and women tend to have an increased chance of substance abuse issues because of the impairment, and treatment services must be available to them which cater to their needs. People who are hearing impaired can appear alone, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then opt 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 possessing this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their issue as a result of social stigmas attached to substance abuse. Having said that, drug treatment counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a must, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support in order that rehab clients can know they are not alone, and that there's hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailor-made for each person so that their own personal challenges can be remedied in rehab.