Hearing impaired men and women tend to have a greater likelihood of drug abuse issues because of the impairment, and rehabilitation services must be available which serves their needs. People who are hearing impaired can feel isolated, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that accompany possessing this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may try and hide their problem due to social stigmas attached to substance abuse. Having said that, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support to ensure that rehabilitation clients can know that they're not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services could be more tailored for each individual to ensure their own problems can be handled in rehab.