Hearing impaired men and women tend to have a heightened chance of substance abuse issues due to their impairment, and treatment services have to be at hand which cater to their needs. People who are hearing impaired can appear alone, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany having this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, since these individuals may try and hide their problem as a result of social stigmas attached to substance abuse. Having said that, drug and alcohol rehabilitation counselors who offer rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions so that rehabilitation clients can know that they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services may be more tailored for everybody so that their own personal problems can be handled in rehab.