Hearing impaired men and women tend to have a heightened chance of drug abuse issues because of the impairment, and rehab services should be available to them which cater to their circumstances. Those who are hearing impaired can feel isolated, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that come with having this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may make an attempt to hide their problem as a result of social stigmas that come with drug abuse. Nonetheless, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions in order that treatment clients can know they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services could be more tailor-made for everybody so that their particular challenges can be addressed in rehab.