Hearing impaired men and women tend to have an increased probability of substance abuse issues because of the impairment, and rehabilitation services must be available which cater to their circumstances. Those who are hearing impaired can seem to be alone, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that accompany possessing this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may try and hide their problem due to social stigmas attached to abusing drugs. Having said that, alcohol and drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure that rehabilitation clients can know they are not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services may be more tailor-made for each individual so that their own personal problems can be addressed in rehab.