Hearing impaired men and women generally have an increased likelihood of drug use issues because of the impairment, and rehabilitation services have to be at hand which cater to their needs. Individuals who are hearing impaired can feel isolated, lack motivation, and be without goals because of the impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional problems that come with having this handicap in everyday life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may try to hide their problem because of social stigmas attached to substance abuse. Having said that, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are definitely a necessity, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions to ensure treatment clients can know that they are not alone, and that there's hope to handle their problem with alcohol and drugs. Individual counseling services may be more tailor-made for each person so that their unique problems can be handled in treatment.