Hearing impaired men and women tend to have a greater probability of substance abuse issues because of their impairment, and rehabilitation services have to be available which cater to their needs. People who are hearing impaired can seem to be isolated, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional challenges that accompany possessing this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may try to hide their issue due to social stigmas that come with abusing drugs. Having said that, alcohol and drug rehab counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are definitely a necessity, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions to ensure rehabilitation clients can know that they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services can be more tailor-made for everybody to ensure that their own personal challenges can be remedied in treatment.