Hearing impaired men and women generally have a heightened chance of substance abuse issues due to their impairment, and rehabilitation services must be available which serves their needs. Those who are hearing impaired can seem to be isolated, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional challenges that come with possessing this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their problem due to social stigmas attached to drug abuse. Nonetheless, drug rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a necessity, as are 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 challenge with drugs and alcohol. Individual therapy services may be more tailor-made for each individual so that their unique challenges can be remedied in rehabilitation.