Hearing impaired men and women generally have a heightened likelihood of substance abuse issues because of the impairment, and rehabilitation services have to be at hand which cater to their needs. Individuals who are hearing impaired can seem to be alone, lack motivation, and goalless because of the impairment. Some 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 life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their problem because of social stigmas that come with drug use. Having said that, alcohol and drug treatment counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are definitely a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support to ensure that rehabilitation clients can know that they are not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services can be more tailor-made for everybody so that their own personal problems can be handled in rehab.