Hearing impaired men and women tend to have an elevated chance of substance abuse issues due to their impairment, and rehabilitation services should be available to them which serves their circumstances. Individuals who are hearing impaired can feel alone, lack motivation, and goalless for their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that come with possessing this handicap in daily life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, as these individuals may try to hide their problem due to social stigmas that come with drug abuse. Nonetheless, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are definitely a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions to ensure rehab clients can know they are not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services can be more tailored for each person to ensure that their own personal challenges can be treated in rehabilitation.