Hearing impaired men and women generally have a heightened risk of drug use issues because of the impairment, and rehab services have to be available to them which cater to their circumstances. Those who are hearing impaired can appear alone, unmotivated, and be without goals because of the impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany having this handicap in everyday life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their problem due to social stigmas that come with drug use. Nonetheless, alcohol and drug treatment counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are definitely a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support to ensure treatment clients can know that they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services could be more tailored for each individual so that their unique problems can be handled in treatment.