Hearing impaired men and women tend to have an increased risk of drug use issues because of the impairment, and rehab services must be available which serves their circumstances. People who are hearing impaired can appear alone, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional problems that accompany possessing this handicap in daily life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may make an attempt to hide their problem due to social stigmas that come with substance abuse. Nonetheless, alcohol and drug rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure treatment 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 could be more tailored for everybody to ensure their particular challenges can be handled in rehabilitation.