Hearing impaired men and women tend to have a greater probability of substance abuse issues due to their impairment, and rehabilitation services have to be available to them which cater to their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological problems that come with having this handicap in everyday life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may make an attempt to hide their issue due to social stigmas attached to abusing drugs. However, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are of course a must, as are rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support to ensure that treatment clients can know that they are not on their own, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services can be more tailored for each person so that their particular challenges can be addressed in rehabilitation.