Hearing impaired men and women tend to have a greater likelihood of substance abuse issues because of their impairment, and rehabilitation services should be available to them which cater to their needs. Those who are hearing impaired can appear isolated, unmotivated, and goalless because of the 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 emotional and psychological challenges that come with possessing this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their issue because of social stigmas that come with abusing drugs. However, drug and alcohol treatment counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support to ensure that rehab clients can know they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services can be more tailored for each person so that their unique problems can be addressed in rehabilitation.