Hearing impaired men and women tend to have a greater likelihood of substance abuse issues because of their impairment, and rehabilitation services have to be available to them which cater to their circumstances. People who are hearing impaired can appear isolated, lack motivation, and goalless for their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany possessing this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their problem due to social stigmas attached to drug abuse. However, alcohol and drug rehabilitation counselors who provide treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support in order that rehabilitation clients can know that they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services could be more tailored for everybody to ensure that their particular problems can be treated in rehabilitation.