Hearing impaired men and women generally have a heightened probability of drug use issues due to their impairment, and treatment services have to be available to them which cater to their circumstances. Individuals who are hearing impaired can seem to be isolated, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that come with possessing this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may attempt to hide their issue because of social stigmas that come with drug abuse. Having said that, drug and alcohol rehab counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are definitely a necessity, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure rehabilitation clients can know that they are 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 everybody to ensure that their unique problems can be addressed in rehab.