Hearing impaired men and women tend to have a heightened likelihood of drug use issues because of the impairment, and rehab services should be available to them which cater to their needs. People who are hearing impaired can appear isolated, unmotivated, and goalless due to their impairment. Many hearing impaired individuals then choose 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 daily life. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, because these individuals may try to hide their problem due to social stigmas attached to drug abuse. However, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support in order that rehab clients can know that they are not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services can be more tailored for everybody so that their own personal problems can be addressed in treatment.