Hearing impaired men and women generally have a heightened chance of drug abuse issues due to their impairment, and rehabilitation services should be available which serves their needs. People who are hearing impaired can seem to be alone, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological problems that accompany possessing this handicap in daily life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may try to hide their problem as a result of social stigmas attached to substance abuse. Nonetheless, drug and alcohol rehabilitation counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions so that rehabilitation clients can know they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services may be more tailor-made for each individual so that their unique challenges can be addressed in rehabilitation.