Hearing impaired men and women tend to have an elevated probability of drug abuse issues due to their impairment, and rehab services must be available which serves their circumstances. Individuals who are hearing impaired can feel isolated, unmotivated, and be without goals because of the impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that accompany having this handicap in everyday life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may try to hide their issue due to social stigmas that come with abusing drugs. However, alcohol and drug rehab counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL treatment 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 forum for important peer support to ensure that rehab clients can know that they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services might be more tailor-made for each individual to ensure their own personal challenges can be handled in rehabilitation.