Hearing impaired men and women tend to have a greater risk of substance abuse issues because of their impairment, and treatment services should be at hand which serves their needs. Individuals 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 alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological problems that come with possessing this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may try to hide their problem due to social stigmas attached to substance abuse. However, drug and alcohol rehab counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are definitely a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support in order that rehabilitation clients can know that they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services may be more tailor-made for each person to ensure their own personal challenges can be treated in rehab.