Hearing impaired men and women tend to have a greater probability of substance abuse issues because of the impairment, and rehab services should be available to them which cater to their needs. Individuals who are hearing impaired can appear alone, lack motivation, and goalless for their 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 emotional and psychological challenges that accompany having this handicap in life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, as these individuals may try and hide their issue because of social stigmas attached to substance abuse. Having said that, 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 must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions to ensure rehabilitation clients can know that they're not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services might be more tailored for everybody to ensure that their particular challenges can be treated in rehabilitation.