Hearing impaired men and women tend to have an elevated probability of substance abuse issues due to their impairment, and treatment services must be at hand which serves their circumstances. Individuals who are hearing impaired can feel alone, unmotivated, and be without goals due to their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany having this handicap in life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their problem because of social stigmas that come with abusing drugs. Nonetheless, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are definitely a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions to ensure that 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 counseling services might be more tailor-made for everybody to ensure that their own personal challenges can be treated in rehabilitation.