Hearing impaired men and women tend to have an elevated probability of drug use issues because of their impairment, and rehabilitation services must be available to them which serves their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that come with possessing this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their problem as a result of social stigmas that come with abusing drugs. However, drug rehab counselors who provide rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are definitely a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support so that rehabilitation clients can know that they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services could be more tailored for each individual to ensure that their own personal problems can be addressed in rehab.