Hearing impaired men and women generally have a heightened probability of drug use issues because of their impairment, and rehab services must be available which cater to their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and goalless for their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that accompany having this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their issue because of social stigmas attached to abusing drugs. Nonetheless, alcohol and drug treatment counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL rehab services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support in order that rehab clients can know they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services could be more tailor-made for each person so that their own personal problems can be treated in rehab.