Hearing impaired men and women generally have a heightened likelihood of drug use issues because of their impairment, and rehab services must be at hand which serves their needs. Individuals who are hearing impaired can feel alone, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that come with having this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, because these individuals may attempt to hide their problem due to social stigmas that come with substance abuse. Nonetheless, drug and alcohol rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions to ensure that rehabilitation clients can know they are not on their own, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services could be more tailored for everybody to ensure their unique challenges can be handled in treatment.