Hearing impaired men and women generally have a heightened likelihood of substance abuse issues because of their impairment, and rehab services should be available which serves their circumstances. People who are hearing impaired can feel isolated, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany having this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their issue because of social stigmas attached to drug abuse. However, alcohol and drug rehabilitation counselors who provide rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer support in order that rehabilitation clients can know they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services may be more tailored for everybody to ensure that their particular problems can be addressed in rehab.