Hearing impaired men and women tend to have a greater likelihood of substance abuse issues because of their impairment, and rehabilitation services have to be available which serves their circumstances. Individuals who are hearing impaired can seem to be isolated, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological challenges that come with having this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may try and hide their problem due to social stigmas that come with abusing drugs. Nonetheless, alcohol and drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions so that rehabilitation clients can know that they are not alone, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services can be more tailored for each individual to ensure their particular problems can be remedied in rehab.