Hearing impaired men and women generally have an elevated likelihood of drug abuse issues because of the impairment, and rehab services must be available to them which serves their circumstances. People who are hearing impaired can seem to be isolated, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that come with possessing this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their problem due to social stigmas that come with drug abuse. Having said that, alcohol and drug rehab counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL rehab services are definitely a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions to ensure rehab clients can know they are not on their own, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services might be more tailored for everybody to ensure their own problems can be handled in rehab.