Hearing impaired men and women tend to have an increased chance of substance abuse issues because of the impairment, and rehabilitation services have to be available to them which cater to their circumstances. People who are hearing impaired can seem to be alone, lack motivation, and be without goals because of the impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional challenges that come with having this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, as these individuals may make an attempt to hide their issue due to social stigmas that come with drug use. Having said that, drug rehab counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions in order that treatment clients can know that they are not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services can be more tailored for everybody to ensure that their own problems can be handled in rehabilitation.