Hearing impaired men and women generally have a greater chance of substance abuse issues due to their impairment, and rehab services must be at hand which serves their circumstances. Those who are hearing impaired can seem to be isolated, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany possessing this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their problem because of social stigmas attached to drug abuse. Having said that, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are definitely a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support in order that rehab clients can know that they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services can be more tailor-made for each person to ensure their own challenges can be addressed in rehabilitation.