Hearing impaired men and women tend to have an increased probability of drug abuse issues because of the impairment, and rehabilitation services should be available to them which serves their circumstances. People who are hearing impaired can feel isolated, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that come with possessing this handicap in everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may attempt to hide their issue because of social stigmas that come with abusing drugs. Nonetheless, drug and alcohol treatment counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL rehab services are of course a must, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support in order that rehabilitation clients can know they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services may be more tailor-made for everybody so that their own personal challenges can be remedied in treatment.