Hearing impaired men and women generally have an increased probability of substance abuse issues because of their impairment, and rehab services have to be available to them which cater to their circumstances. People who are hearing impaired can feel isolated, unmotivated, and be without goals due to their impairment. Many 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 challenges that come with possessing this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may attempt to hide their problem due to social stigmas that come with abusing drugs. Having said that, drug rehab counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support to ensure rehabilitation clients can know that they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services might be more tailor-made for each person so that their unique challenges can be remedied in rehabilitation.