Hearing impaired men and women tend to have an increased likelihood of substance abuse issues because of their impairment, and rehabilitation services have to be available which serves their needs. Those who are hearing impaired can appear alone, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that come with possessing this handicap in everyday 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 problem because of social stigmas attached to drug abuse. Nonetheless, drug rehabilitation counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a necessity, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions so that rehabilitation clients can know they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services might be more tailor-made for each person to ensure their unique challenges can be handled in rehabilitation.