Hearing impaired men and women tend to have an elevated likelihood of drug abuse issues because of their impairment, and rehabilitation services should be at hand which serves their circumstances. Those who are hearing impaired can seem to be isolated, lack motivation, and be without goals due to their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that come with possessing this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their problem as a result of social stigmas that come with substance abuse. However, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support to ensure rehabilitation clients can know that they're not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual therapy services can be more tailored for each person to ensure that their own challenges can be remedied in treatment.