Hearing impaired men and women tend to have a heightened chance of drug use issues because of the impairment, and rehabilitation services have to be available which cater to their circumstances. Individuals who are hearing impaired can feel alone, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that come with having this handicap in life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may attempt to hide their problem due to social stigmas that come with abusing drugs. Nonetheless, drug rehab counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure that rehab clients can know that they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailor-made for each individual so that their own problems can be addressed in rehab.