Hearing impaired men and women generally have an elevated probability of substance abuse issues because of the impairment, and rehab services must be available which serves their circumstances. Those who are hearing impaired can seem to be isolated, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that accompany possessing this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their problem due to social stigmas that come with substance abuse. However, drug and alcohol rehab counselors who offer treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support in order that rehabilitation clients can know they are not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services could be more tailored for each person to ensure that their own personal problems can be addressed in treatment.