Hearing impaired men and women tend to have an elevated chance of substance abuse issues due to their impairment, and rehabilitation services have to be available which serves their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and goalless for their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological problems that accompany possessing this handicap in life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may make an attempt to hide their problem due to social stigmas attached to drug abuse. Having said that, drug and alcohol treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a must, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions to ensure that rehabilitation clients can know they are not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services might be more tailored for each individual to ensure their unique challenges can be remedied in rehabilitation.