Hearing impaired men and women generally have an elevated likelihood of drug use issues due to their impairment, and rehab services should be available to them which cater to their needs. People who are hearing impaired can appear isolated, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that come with having this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may try and hide their problem due to social stigmas attached to drug use. Having said that, drug and alcohol treatment counselors who offer treatment to hearing impaired individuals comprehend the challenges that 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 gives a venue for important peer interactions to ensure that treatment clients can know they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services can be more tailor-made for each individual so that their particular challenges can be remedied in rehab.