Hearing impaired men and women tend to have an elevated chance of drug use issues due to their impairment, and rehabilitation services have to be available to them which serves their circumstances. Those who are hearing impaired can feel alone, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that come with possessing this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may try to hide their problem as a result of social stigmas that come with abusing drugs. Having said that, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions to ensure rehabilitation clients can know that they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services may be more tailored for everybody so that their particular problems can be addressed in rehabilitation.