Hearing impaired men and women tend to have a greater chance of drug use issues because of their impairment, and rehab services must be available which serves their needs. Those who are hearing impaired can appear alone, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological problems that come with having this handicap in life. In the first place, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may attempt to hide their problem because of social stigmas attached to drug abuse. However, alcohol and drug rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions to ensure rehab clients can know that they're not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailored for each person to ensure their own personal challenges can be addressed in rehabilitation.