Hearing impaired men and women tend to have an elevated probability of substance abuse issues due to their impairment, and rehab services have to be at hand which cater to their circumstances. People who are hearing impaired can appear isolated, lack motivation, and be without goals for their 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 daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their issue because of social stigmas that come with abusing drugs. However, drug rehabilitation counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support so that rehab clients can know they are not alone, and that there's hope to handle their problem with alcohol and drugs. Individual therapy services might be more tailored for each person to ensure that their unique challenges can be treated in rehab.