Hearing impaired men and women tend to have an increased chance of substance abuse issues because of their impairment, and rehabilitation services should be available which cater to their circumstances. Individuals who are hearing impaired can feel alone, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that come with having this handicap in life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their problem because of social stigmas attached to drug abuse. Having said that, drug and alcohol rehab counselors who offer rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are definitely a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions to ensure rehabilitation clients can know they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services may be more tailor-made for each person so that their own personal challenges can be treated in rehab.