Hearing impaired men and women generally have an elevated likelihood of drug use issues because of their impairment, and rehabilitation services have to be available to them which serves their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany possessing this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their problem because of social stigmas that come with drug use. Having said that, drug and alcohol rehab counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions to ensure that rehab clients can know they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services may be more tailored for each individual to ensure their particular problems can be treated in rehab.