Hearing impaired men and women tend to have an increased chance of substance abuse issues due to their impairment, and rehabilitation services have to be at hand which serves their needs. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals due to their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that accompany possessing this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may try and hide their issue as a result of social stigmas that come with drug abuse. However, drug and alcohol rehab counselors who provide rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support so that treatment clients can know that they are not on their own, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services could be more tailored for each person to ensure their unique challenges can be treated in rehabilitation.