Hearing impaired men and women generally have a heightened probability of drug use issues due to their impairment, and rehabilitation services must be at hand which serves their circumstances. Those who are hearing impaired can appear isolated, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany possessing this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their problem because of social stigmas that come with abusing drugs. However, drug treatment counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support to ensure rehab clients can know that they are not alone, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services could be more tailored for each person to ensure their unique problems can be treated in rehab.