Hearing impaired men and women tend to have a greater likelihood of substance abuse issues because of their impairment, and rehab services should be at hand which serves their circumstances. Those who are hearing impaired can feel isolated, lack motivation, and be without goals because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional problems that come with possessing this handicap in life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their issue due to social stigmas attached to drug use. Nonetheless, drug rehabilitation counselors who provide rehabilitation 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 interactions so that treatment clients can know they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services can be more tailor-made for each individual to ensure that their particular problems can be handled in treatment.