Hearing impaired men and women tend to have an elevated probability of substance abuse issues due to their impairment, and rehab services should be available to them which serves their needs. Individuals who are hearing impaired can seem to be alone, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological problems that accompany having this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may try to hide their issue because of social stigmas attached to drug use. Nonetheless, alcohol and drug rehabilitation counselors who offer rehab to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support so that rehabilitation clients can know that they are not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services may be more tailored for everybody to ensure that their particular challenges can be treated in rehab.