Hearing impaired men and women generally have an elevated likelihood of drug use issues due to their impairment, and rehab services must be available which serves their circumstances. Individuals who are hearing impaired can seem to be isolated, lack motivation, and be without goals due to their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany having this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their problem because of social stigmas that come with abusing drugs. However, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support in order 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 may be more tailored for each individual to ensure their unique problems can be treated in rehab.