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 needs. People who are hearing impaired can feel alone, unmotivated, and goalless for their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological problems that accompany having this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, since these individuals may attempt to hide their problem because of social stigmas attached to substance abuse. Having said that, drug rehab counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support to ensure rehabilitation clients can know they are not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services can be more tailor-made for each individual to ensure that their own problems can be addressed in rehabilitation.