Hearing impaired men and women tend to have an elevated probability of drug use issues because of their impairment, and rehabilitation services must be available to them which serves their circumstances. Those who are hearing impaired can feel isolated, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional problems that come with having this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their issue as a result of social stigmas attached to abusing drugs. However, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support so that rehab clients can know that they are not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual therapy services might be more tailored for everybody to ensure their own personal challenges can be treated in rehab.