Hearing impaired men and women tend to have an increased probability of drug use issues because of the impairment, and rehab services must be available which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional challenges that accompany having this handicap in life. In the first place, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may make an attempt to hide their problem because of social stigmas that come with abusing drugs. However, drug and alcohol treatment counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support in order that treatment clients can know that they're not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailor-made for each person to ensure that their own personal challenges can be remedied in rehabilitation.