Hearing impaired men and women generally have an elevated chance of substance abuse issues because of their impairment, and rehabilitation services must be available to them which serves their needs. People who are hearing impaired can feel isolated, lack motivation, and be without goals because of the impairment. Many hearing impaired individuals then choose 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 having this handicap in everyday life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may make an attempt to hide their issue because of social stigmas that come with abusing drugs. Nonetheless, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL rehab services are definitely a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure treatment clients can know they are not on their own, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailor-made for each person to ensure that their own personal challenges can be remedied in rehab.