Hearing impaired men and women generally have a greater risk of drug use issues because of the impairment, and rehab services should be available which serves their circumstances. Individuals who are hearing impaired can appear alone, unmotivated, and goalless for their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that come with possessing this handicap in life. To start with, 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 that come with drug use. Nonetheless, alcohol and drug rehabilitation counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a must, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions to ensure that rehabilitation clients can know they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services could be more tailored for each individual to ensure their own challenges can be remedied in rehab.