Hearing impaired men and women generally have an elevated likelihood of drug abuse issues because of their impairment, and rehab services have to be available which cater to their needs. People who are hearing impaired can appear alone, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have 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 can be a challenge, as these individuals may try and hide their issue as a result of social stigmas attached to drug abuse. Having said that, drug rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions to ensure treatment clients can know that they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services can be more tailored for each individual to ensure their particular challenges can be treated in rehabilitation.