Hearing impaired men and women generally have a greater probability of drug abuse issues due to their impairment, and rehabilitation services should be at hand which cater to their circumstances. Those who are hearing impaired can feel alone, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological challenges that come with possessing this handicap in life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may try and hide their issue as a result of social stigmas that come with substance abuse. However, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are of course a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions so that rehab clients can know they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services could be more tailored for each individual to ensure their own personal challenges can be addressed in rehab.