Hearing impaired men and women tend to have a heightened chance of substance abuse issues because of the impairment, and rehab services have to be available which serves their needs. Individuals who are hearing impaired can seem to be alone, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that come with having this handicap in everyday life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may try to hide their issue because of social stigmas that come with drug use. Nonetheless, drug rehabilitation counselors who provide rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL rehab services are definitely a must, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure that rehabilitation clients can know that they're not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services could be more tailor-made for each individual to ensure their particular problems can be treated in rehabilitation.