Hearing impaired men and women generally have an increased likelihood of substance abuse issues because of their impairment, and rehab services should be available which cater to their needs. Those who are hearing impaired can appear isolated, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that come with possessing this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, since these individuals may make an attempt to hide their problem because of social stigmas that come with substance abuse. However, drug rehab counselors who offer rehab to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a must, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support to ensure that rehab clients can know that they're not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailored for each person to ensure their unique problems can be handled in rehab.