Hearing impaired men and women generally have an increased chance of substance abuse issues because of the impairment, and rehab services must be available to them which serves their needs. People who are hearing impaired can seem to be isolated, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that accompany possessing this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, as these individuals may try and hide their problem due to social stigmas that come with drug abuse. Nonetheless, alcohol and drug rehab counselors who provide rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a necessity, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support so that treatment clients can know that they're not alone, and that there's hope to resolve their challenge with drugs and alcohol. Individual counseling services may be more tailor-made for each individual so that their own challenges can be handled in rehab.