Hearing impaired men and women generally have a greater chance of substance abuse issues because of their impairment, and rehabilitation services have to be available to them which serves their needs. Those who are hearing impaired can appear isolated, unmotivated, and goalless because of the impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological problems that come with possessing this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may make an attempt to hide their issue because of social stigmas that come with drug abuse. However, drug rehab counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions to ensure treatment clients can know that they're not on their own, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services can be more tailor-made for everybody so that their own personal problems can be remedied in rehabilitation.