Hearing impaired men and women generally have an increased probability of drug use issues because of their impairment, and treatment services have to be at hand which serves their circumstances. Individuals who are hearing impaired can feel alone, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that accompany having this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their issue because of social stigmas that come with substance abuse. Nonetheless, drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support so that rehabilitation clients can know they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services may be more tailor-made for each person so that their own personal problems can be treated in rehab.