Hearing impaired men and women generally have an elevated risk of substance abuse issues because of their impairment, and rehabilitation services should be available which cater to their needs. People who are hearing impaired can seem to be isolated, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that accompany having this handicap in daily life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may attempt to hide their problem because of social stigmas attached to substance abuse. However, alcohol and drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are definitely a must, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions to ensure that treatment clients can know that they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services can be more tailored for everybody so that their own problems can be treated in rehabilitation.