Hearing impaired men and women tend to have a greater probability of substance abuse issues because of the impairment, and rehabilitation services must be at hand which cater to their circumstances. People who are hearing impaired can appear alone, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological problems that come with having this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may try and hide their problem due to social stigmas that come with drug use. However, alcohol and drug rehab counselors who offer 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 unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support in order that treatment clients can know that they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services may be more tailored for everybody to ensure that their own personal challenges can be handled in rehab.