Hearing impaired men and women generally have an elevated probability of substance abuse issues because of their impairment, and rehabilitation services should be at hand which serves their circumstances. Those who are hearing impaired can feel alone, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional problems that accompany having this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their problem because of social stigmas that come with abusing drugs. Nonetheless, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a necessity, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support so that treatment clients can know that they're not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services could be more tailored for everybody to ensure that their own personal problems can be treated in rehab.