Hearing impaired men and women tend to have an elevated likelihood of substance abuse issues because of the impairment, and rehab services should be available to them which cater to their circumstances. Those who are hearing impaired can appear alone, unmotivated, and goalless due to their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that come with possessing this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may attempt to hide their problem due to social stigmas that come with substance abuse. Nonetheless, drug treatment counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are definitely a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support to ensure treatment clients can know they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services might be more tailored for each person to ensure their particular challenges can be treated in rehab.