Hearing impaired men and women generally have a greater chance of substance abuse issues because of the impairment, and rehabilitation services should be at hand which cater to their circumstances. People who are hearing impaired can appear isolated, lack motivation, and be without goals for their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological problems that accompany possessing this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may attempt to hide their problem due to social stigmas attached to abusing drugs. However, drug and alcohol rehabilitation counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are definitely a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support so that rehabilitation clients can know they are not on their own, and that there's hope to resolve their problem with alcohol and drugs. Individual therapy services could be more tailored for everybody to ensure that their own personal challenges can be handled in rehab.