Hearing impaired men and women tend to have a heightened likelihood of substance abuse issues because of the impairment, and rehab services should be at hand which serves their circumstances. Those who are hearing impaired can appear alone, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological challenges that come with possessing this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may try to hide their issue due to social stigmas attached to substance abuse. Having said that, drug and alcohol rehabilitation counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support to ensure that rehab clients can know they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services might be more tailored for each individual to ensure that their particular problems can be treated in treatment.