Hearing impaired men and women generally have a heightened likelihood of substance abuse issues due to their impairment, and rehab services must be at hand which cater to their needs. People who are hearing impaired can seem to be alone, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany possessing this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their issue because of social stigmas attached to substance abuse. However, alcohol and drug rehabilitation 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 rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions to ensure treatment clients can know they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services could be more tailored for each individual to ensure their own challenges can be treated in treatment.