Hearing impaired men and women tend to have a greater probability of substance abuse issues because of the impairment, and rehab services have to be available to them which serves their needs. Those who are hearing impaired can appear alone, unmotivated, and goalless due to their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological problems that accompany possessing this handicap in everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may attempt to hide their problem as a result of social stigmas that come with substance abuse. However, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions in order that rehabilitation clients can know that they are not alone, and that there's hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailored for each individual to ensure that their particular challenges can be remedied in treatment.