Hearing impaired men and women tend to have a heightened likelihood of drug use issues because of the impairment, and rehab services must be available to them which serves their needs. Individuals who are hearing impaired can seem to be isolated, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional problems that accompany having this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their problem as a result of social stigmas that come with substance abuse. Having said that, drug and alcohol treatment counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions to ensure that treatment clients can know they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services could be more tailored for everybody to ensure that their particular challenges can be remedied in rehab.