Hearing impaired men and women generally have an increased chance of substance abuse issues due to their impairment, and rehabilitation services should be available which serves their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that accompany possessing this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may try and hide their problem due to social stigmas attached to substance abuse. However, alcohol and drug treatment counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehab services are definitely a must, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support to ensure treatment clients can know that they are not alone, and that there's hope to resolve their challenge with drugs and alcohol. Individual counseling services can be more tailor-made for everybody to ensure their own problems can be remedied in treatment.