Hearing impaired men and women tend to have an increased probability of substance abuse issues because of the impairment, and rehabilitation services must be available to them which cater to their circumstances. Those who are hearing impaired can appear alone, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that come with having this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their problem as a result of social stigmas attached to drug use. Nonetheless, alcohol and drug rehab counselors who offer rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support to ensure that rehabilitation clients can know they are not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services may be more tailor-made for everybody to ensure their own problems can be remedied in treatment.