Hearing impaired men and women tend to have an increased probability of substance abuse issues because of their impairment, and rehab services have to be at hand which serves their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and be without goals for their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that come with having this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their problem as a result of social stigmas that come with drug abuse. Nonetheless, alcohol and drug rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support so that rehab clients can know they are not alone, and that there's hope to handle their problem with alcohol and drugs. Individual counseling services might be more tailored for each person to ensure their unique challenges can be remedied in rehab.