Hearing impaired men and women tend to have an elevated probability of substance abuse issues because of their impairment, and rehab services must be available which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and be without goals 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 escape from the emotional and psychological challenges that accompany having this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may try to hide their problem because of social stigmas that come with abusing drugs. Nonetheless, alcohol and drug rehab counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support so that rehabilitation clients can know they are not on their own, and that there's hope to handle their problem with alcohol and drugs. Individual therapy services could be more tailored for each individual to ensure that their unique problems can be remedied in rehab.