Hearing impaired men and women generally have a greater chance of substance abuse issues due to their impairment, and rehab services should be available to them which serves their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and goalless 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. In the first place, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may make an attempt to hide their problem due to social stigmas that come with drug abuse. Nonetheless, alcohol and drug rehab counselors who provide rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a must, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support to ensure rehabilitation clients can know they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services might be more tailor-made for each individual to ensure their particular challenges can be addressed in rehab.