Hearing impaired men and women tend to have an increased probability of drug use issues due to their impairment, and rehabilitation services have to be available which serves their needs. Those who are hearing impaired can appear isolated, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then elect 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 everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, since these individuals may make an attempt to hide their issue due to social stigmas attached to drug use. However, drug and alcohol treatment counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions to ensure that rehab clients can know that they're not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services could be more tailored for each person to ensure that their particular challenges can be addressed in rehab.