Hearing impaired men and women generally have an increased likelihood of drug use issues because of their impairment, and rehabilitation services should be at hand which cater to their needs. People who are hearing impaired can seem to be alone, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany having this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, since these individuals may try and hide their issue because of social stigmas that come with drug abuse. Having said that, alcohol and drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure treatment clients can know they are not on their own, and that there's hope to handle their problem with alcohol and drugs. Individual counseling services could be more tailored for everybody so that their particular challenges can be addressed in rehabilitation.