Hearing impaired men and women tend to have an elevated chance of substance abuse issues because of the impairment, and rehabilitation services must be at hand which serves their circumstances. Those who are hearing impaired can seem to be isolated, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological challenges that come with having this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may try to hide their issue as a result of social stigmas that come with abusing drugs. However, drug treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support so that rehabilitation clients can know they are not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services could be more tailored for each person so that their own problems can be remedied in rehabilitation.