Hearing impaired men and women tend to have an elevated chance of drug abuse issues due to their impairment, and rehab services have to be at hand which cater to their needs. Those who are hearing impaired can feel isolated, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that come with having this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their problem because of social stigmas that come with drug abuse. However, alcohol and drug rehabilitation counselors who provide rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure rehab clients can know they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services could be more tailored for each person to ensure that their own challenges can be handled in rehabilitation.