Hearing impaired men and women tend to have an increased likelihood of drug abuse issues because of their impairment, and rehab services have to be at hand which cater to their needs. Individuals who are hearing impaired can feel isolated, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that accompany having this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their issue because of social stigmas that come with drug abuse. Nonetheless, alcohol and drug rehabilitation counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are definitely a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer support so that rehab clients can know that they are not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services could be more tailor-made for each individual so that their own challenges can be addressed in rehabilitation.