Hearing impaired men and women generally have an elevated likelihood of drug use issues due to their impairment, and rehabilitation services should be available to them which serves their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and be without goals due to their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological problems that come with possessing this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their issue due to social stigmas attached to drug use. However, drug and alcohol treatment counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL treatment services are of course a must, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support in order that rehab clients can know that they're not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services might be more tailor-made for each person so that their particular problems can be handled in rehab.