Hearing impaired men and women generally have a greater likelihood of drug abuse issues because of their impairment, and rehabilitation services must be available to them which serves their needs. Those who are hearing impaired can feel alone, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that accompany having this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may try to hide their problem due to social stigmas that come with drug use. However, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a must, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support so that rehabilitation clients can know they are not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services could be more tailor-made for each person to ensure their unique challenges can be handled in treatment.