Hearing impaired men and women generally have a greater chance of substance abuse issues because of the impairment, and rehabilitation services must be available to them which cater to their needs. People who are hearing impaired can appear alone, lack motivation, and goalless for their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that accompany 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 attempt to hide their problem due to social stigmas attached to drug abuse. Having said that, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure that rehabilitation clients can know that they are not alone, and that there's hope to resolve their challenge with alcohol and drugs. Individual therapy services might be more tailored for everybody so that their own problems can be handled in rehab.