Hearing impaired men and women tend to have a heightened probability of substance abuse issues because of their impairment, and rehabilitation services have to be available which cater to their circumstances. People who are hearing impaired can feel isolated, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological problems that come with possessing this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, as these individuals may make an attempt to hide their issue due to social stigmas attached to drug abuse. Nonetheless, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehab services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. 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 handle their challenge with alcohol and drugs. Individual therapy services might be more tailored for each person so that their own problems can be remedied in rehabilitation.