Hearing impaired men and women tend to have an increased risk of drug use issues because of their impairment, and rehabilitation services must be available to them which serves their needs. People who are hearing impaired can seem to be alone, lack motivation, and be without goals because of 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 emotional and psychological challenges that accompany having this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their issue as a result of social stigmas attached to substance abuse. Having said that, drug and alcohol 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 rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions to ensure rehabilitation clients can know that they're not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services might be more tailored for each person to ensure that their own personal challenges can be remedied in rehabilitation.