Hearing impaired men and women tend to have an increased probability of drug use issues due to their impairment, and rehab services should be available which cater to their circumstances. People who are hearing impaired can seem to be alone, unmotivated, and goalless due to their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany possessing this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may attempt to hide their problem because of social stigmas that come with abusing drugs. Nonetheless, alcohol and drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a must, as are rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions to ensure that rehabilitation 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 could be more tailored for everybody so that their own personal challenges can be addressed in rehab.