Hearing impaired men and women tend to have a heightened likelihood of substance abuse issues because of the impairment, and rehab services must be at hand which cater to their circumstances. Individuals who are hearing impaired can feel isolated, unmotivated, and be without goals because of the impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that come with possessing this handicap in life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their problem due to social stigmas that come with drug abuse. Having said that, drug treatment counselors who provide rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure treatment clients can know that they are not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services may be more tailored for everybody to ensure that their own challenges can be handled in rehabilitation.