Hearing impaired men and women generally have an increased probability of substance abuse issues because of the impairment, and rehabilitation services have to be available to them which serves their needs. Those who are hearing impaired can feel alone, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that accompany possessing this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their issue because of social stigmas attached to drug use. However, drug and alcohol treatment counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a must, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support so that treatment clients can know they are not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services can be more tailor-made for each person to ensure their particular challenges can be addressed in rehabilitation.