Hearing impaired men and women generally have an increased risk of substance abuse issues because of the impairment, and rehabilitation services should be at hand which cater to their circumstances. Those who are hearing impaired can seem to be alone, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional challenges that accompany having this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may make an attempt to hide their issue due to social stigmas attached to substance abuse. However, drug rehab counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions so that rehabilitation clients can know they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services can be more tailored for each individual to ensure their unique problems can be remedied in treatment.