Hearing impaired men and women generally have a greater chance of drug abuse issues because of the impairment, and rehab services must be at hand which serves their needs. Those who are hearing impaired can appear alone, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that accompany having this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may attempt to hide their problem because of social stigmas attached to drug abuse. However, alcohol and drug treatment counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are definitely a must, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support in order that rehab clients can know they are not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services can be more tailor-made for each person to ensure their own problems can be remedied in treatment.