Hearing impaired men and women tend to have an elevated chance of drug abuse issues because of their impairment, and rehabilitation services must be available to them which cater to their circumstances. People who are hearing impaired can seem to be isolated, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional problems that accompany having this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their problem due to social stigmas that come with drug abuse. Having said that, drug rehabilitation counselors who provide rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL treatment services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions to ensure that rehab clients can know that they are not alone, and that there's hope to handle their problem with alcohol and drugs. Individual therapy services could be more tailor-made for each individual to ensure their particular problems can be treated in rehab.