Hearing impaired men and women generally have an elevated probability of drug use issues due to their impairment, and rehabilitation services should be available to them which serves their needs. Individuals who are hearing impaired can appear alone, lack motivation, and be without goals due to their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that come with having this handicap in daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, because these individuals may try to hide their issue because of social stigmas attached to substance abuse. Nonetheless, alcohol and drug rehab counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a must, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions so that treatment clients can know they are not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services might be more tailor-made for each person to ensure their own problems can be addressed in treatment.