Hearing impaired men and women generally have an increased likelihood of drug use issues because of their impairment, and rehab services must be available which serves their needs. Individuals who are hearing impaired can feel isolated, lack motivation, and be without goals because of their 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 emotional and psychological problems that accompany possessing this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their issue because of social stigmas attached to substance abuse. Having said that, drug and alcohol rehab counselors who offer rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a must, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions in order that rehabilitation clients can know that they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services might be more tailored for each individual to ensure that their own problems can be remedied in rehabilitation.