Hearing impaired men and women tend to have an elevated probability of substance abuse issues because of their impairment, and rehabilitation services must be at hand which serves their circumstances. Individuals who are hearing impaired can appear isolated, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional challenges that come with possessing this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their problem as a result of social stigmas that come with drug abuse. Having said that, drug rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer support to ensure rehab clients can know that they are not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services can be more tailor-made for each person to ensure their own challenges can be addressed in rehabilitation.