Hearing impaired men and women generally have a heightened likelihood of substance abuse issues due to their impairment, and rehab services should be available to them which cater to their needs. Those who are hearing impaired can appear alone, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany possessing this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may attempt to hide their issue because of social stigmas that come with abusing drugs. However, drug rehab counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions to ensure rehab clients can know that they're not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services may be more tailored for each individual to ensure their own personal challenges can be handled in rehabilitation.