Hearing impaired men and women generally have a greater probability of drug use issues due to their impairment, and rehab services must be available to them which cater to their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and be without goals 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 challenges that accompany having this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may make an attempt to hide their issue as a result of social stigmas that come with substance abuse. Nonetheless, drug and alcohol treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer support in order that rehab clients can know that they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services can be more tailored for each person to ensure that their particular challenges can be handled in treatment.