Hearing impaired men and women tend to have a greater risk of substance abuse issues because of their impairment, and rehab services should be available which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany possessing this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may attempt to hide their issue as a result of social stigmas attached to drug abuse. Nonetheless, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support in order that treatment clients can know that they are not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services may be more tailor-made for each individual so that their unique challenges can be addressed in rehabilitation.