Hearing impaired men and women generally have an elevated chance of substance abuse issues because of the impairment, and rehab services should be available which serves their circumstances. Individuals who are hearing impaired can feel alone, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional problems that come with having this handicap in daily life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may make an attempt to hide their problem as a result of social stigmas attached to drug use. However, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL rehab services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure that rehabilitation clients can know that they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailored for everybody to ensure their particular problems can be handled in rehab.