Hearing impaired men and women generally have an increased likelihood of drug use issues due to their impairment, and rehabilitation services must be available to them which serves their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and goalless because of their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that come with having this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, as these individuals may attempt to hide their problem as a result of social stigmas attached to abusing drugs. Nonetheless, drug and alcohol treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a must, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure treatment clients can know that they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services might be more tailored for each individual so that their unique challenges can be remedied in rehabilitation.