Hearing impaired men and women tend to have an increased risk of substance abuse issues due to their impairment, and rehab services have to be at hand which serves their needs. Those who are hearing impaired can seem to be isolated, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that accompany having this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may make an attempt to hide their problem because of social stigmas attached to abusing drugs. Nonetheless, alcohol and drug treatment counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer support so that rehabilitation clients can know that they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services could be more tailor-made for everybody to ensure that their unique problems can be treated in rehabilitation.