Hearing impaired men and women tend to have an increased probability of drug abuse issues because of the impairment, and rehabilitation services have to be at hand which cater to their circumstances. People who are hearing impaired can appear isolated, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that accompany having this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their issue due to social stigmas attached to substance abuse. However, alcohol and drug rehab counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer support in order that rehabilitation clients can know they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailored for everybody to ensure their particular problems can be treated in rehabilitation.