Hearing impaired men and women tend to have a greater probability of drug use issues because of the impairment, and treatment services must be available to them which serves their circumstances. People who are hearing impaired can feel alone, lack motivation, and be without goals due to their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany having this handicap in life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their issue because of social stigmas attached to substance abuse. However, drug and alcohol rehab counselors who offer rehab to hearing impaired individuals see the challenges these clients face. ASL rehab services are of course a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions to ensure rehabilitation clients can know that they're not alone, and that there's hope to resolve their challenge with alcohol and drugs. Individual therapy services could be more tailored for each person to ensure that their own problems can be addressed in treatment.