Hearing impaired men and women tend to have a heightened probability of substance abuse issues because of the impairment, and rehabilitation services must be available which serves their needs. Individuals who are hearing impaired can appear isolated, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that come with possessing this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may make an attempt to hide their issue due to social stigmas that come with drug abuse. However, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions to ensure that rehab clients can know that they're not alone, and that there's hope to resolve their challenge with alcohol and drugs. Individual therapy services can be more tailor-made for each person so that their particular problems can be handled in treatment.