Hearing impaired men and women tend to have a heightened probability of substance abuse issues because of the impairment, and rehabilitation services must be at hand which serves their circumstances. People who are hearing impaired can seem to be isolated, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological problems that accompany possessing this handicap in daily life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, as these individuals may try and hide their problem due to social stigmas that come with drug use. However, drug and alcohol rehab counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions to ensure that rehab clients can know that they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailored for each person to ensure that their particular problems can be remedied in rehab.