Hearing impaired men and women generally have a greater probability of drug abuse issues because of their impairment, and rehab services must be available which serves their needs. Individuals who are hearing impaired can appear alone, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional problems that come with having this handicap in daily life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may try and hide their issue due to social stigmas attached to substance abuse. Having said that, alcohol and drug rehab counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions so that rehabilitation clients can know they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services could be more tailored for each individual to ensure their own personal problems can be remedied in rehab.