Hearing impaired men and women tend to have an increased chance of drug abuse issues due to their impairment, and rehabilitation services have to be available to them which serves their needs. People who are hearing impaired can appear 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 experience a temporary release from the emotional and psychological challenges that come with possessing this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their problem due to social stigmas that come with abusing drugs. However, alcohol and drug rehab counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions in order that treatment clients can know that they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services can be more tailor-made for each person to ensure that their own personal challenges can be remedied in treatment.