Hearing impaired men and women generally have an elevated chance of drug use issues due to their impairment, and rehabilitation services have to be available to them which cater to their needs. Individuals who are hearing impaired can seem to be alone, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany having this handicap in life. In the first place, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their problem because of social stigmas attached to substance abuse. However, alcohol and drug rehab counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure that rehab clients can know that they're not on their own, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services could be more tailored for each individual to ensure their particular challenges can be remedied in rehab.