Hearing impaired men and women generally have a greater chance of substance abuse issues because of the impairment, and rehabilitation services have to be available which serves their needs. Those who are hearing impaired can feel alone, lack motivation, and be without goals for their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that accompany possessing this handicap in life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may make an attempt to hide their issue as a result of social stigmas that come with drug use. Having said that, drug and alcohol rehab counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support to ensure that treatment clients can know they are not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services may be more tailor-made for each individual so that their unique challenges can be remedied in rehab.