Hearing impaired men and women generally have a greater likelihood of substance abuse issues due to their impairment, and rehab services have to be at hand which serves their circumstances. Individuals who are hearing impaired can appear alone, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional problems that come with possessing this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may try to hide their problem due to social stigmas that come with drug use. Having said that, drug rehabilitation counselors who provide rehab to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are definitely a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure that rehab clients can know they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services may be more tailor-made for everybody to ensure their own challenges can be handled in rehab.