Hearing impaired men and women tend to have a heightened probability of substance abuse issues because of their impairment, and rehab services must be available which cater to their needs. Those who are hearing impaired can seem to be alone, lack motivation, and be without goals due to their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that come with possessing this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their issue because of social stigmas that come with abusing drugs. Having said that, drug treatment counselors who offer treatment to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are definitely a must, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions to ensure rehabilitation clients can know they are not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services could be more tailor-made for each individual so that their own personal problems can be handled in rehabilitation.