Hearing impaired men and women generally have an elevated risk of substance abuse issues because of their impairment, and rehabilitation services must be at hand which serves their needs. People who are hearing impaired can appear alone, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological problems that come with having this handicap in everyday life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, as these individuals may make an attempt to hide their issue due to social stigmas attached to drug abuse. Nonetheless, drug and alcohol rehab counselors who offer rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a necessity, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support to ensure rehabilitation clients can know they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services may be more tailor-made for each person to ensure their unique challenges can be handled in treatment.