Hearing impaired men and women tend to have an elevated probability of drug use issues due to their impairment, and treatment services should be available to them which cater to their needs. People 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 drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological challenges that come with having this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may make an attempt to hide their problem due to social stigmas that come with substance abuse. However, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions so that treatment clients can know 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 each person to ensure their own personal challenges can be remedied in rehab.