Hearing impaired men and women generally have an elevated probability of substance abuse issues because of the impairment, and rehab services must be available which cater to their circumstances. Those who are hearing impaired can feel alone, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological challenges that come with possessing this handicap in 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 due to social stigmas that come with abusing drugs. However, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions in order that treatment clients can know they are not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services may be more tailor-made for each person to ensure that their unique challenges can be treated in rehabilitation.