Hearing impaired men and women generally have a greater probability of drug use issues because of the impairment, and rehabilitation services should be available which cater to their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that come with having this handicap in daily life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their problem due to social stigmas attached to substance abuse. Nonetheless, drug and alcohol rehab counselors who provide rehab 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 provides a venue for important peer support so that rehabilitation clients can know that they're not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services could be more tailored for each individual to ensure that their own personal challenges can be remedied in rehabilitation.