Hearing impaired men and women generally have an elevated chance of substance abuse issues because of the impairment, and rehab services must be available to them which serves their needs. Those who are hearing impaired can seem to be isolated, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany having this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their problem because of social stigmas that come with substance abuse. However, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions so that treatment clients can know they are not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services can be more tailor-made for each person to ensure their own problems can be handled in rehabilitation.