Hearing impaired men and women generally have a greater probability of drug abuse issues because of the impairment, and rehabilitation services should be available which serves their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological problems that accompany possessing this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their issue due to social stigmas that come with drug use. Nonetheless, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that 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 encounter. Group therapy provides a forum for important peer interactions so that rehabilitation clients can know that they're not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services could be more tailored for everybody to ensure their own problems can be addressed in rehab.