Hearing impaired men and women tend to have an increased likelihood of substance abuse issues due to their impairment, and rehabilitation services must be available to them which serves their circumstances. Individuals who are hearing impaired can appear isolated, unmotivated, and be without goals due to their 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 challenges that come with having this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may make an attempt to hide their problem due to social stigmas attached to abusing drugs. Nonetheless, alcohol and drug rehab counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions to ensure that rehab clients can know they are not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services might be more tailored for everybody so that their own problems can be treated in treatment.