Hearing impaired men and women tend to have an increased chance of substance abuse issues because of the impairment, and rehabilitation services must be at hand which serves their needs. People who are hearing impaired can feel isolated, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional problems that come with having this handicap in daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may attempt to hide their problem as a result of social stigmas that come with substance abuse. However, alcohol and drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a must, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions so that treatment clients can know that they're not alone, and that there's hope to handle their problem with alcohol and drugs. Individual counseling services can be more tailor-made for each individual to ensure that their own personal problems can be addressed in rehabilitation.