Hearing impaired men and women tend to have an elevated likelihood of drug abuse issues because of their impairment, and rehab services have to be at hand which cater to their circumstances. People who are hearing impaired can appear isolated, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that come with having this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, as these individuals may try to hide their problem due to social stigmas attached to drug use. Nonetheless, alcohol and drug treatment counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions in order that rehab clients can know they are not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services can be more tailor-made for everybody to ensure that their own problems can be addressed in treatment.