Hearing impaired men and women tend to have an elevated chance of substance abuse issues due to their impairment, and rehab services should be available which serves their needs. People who are hearing impaired can appear isolated, lack motivation, and goalless 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 release from the emotional and psychological challenges that come with possessing this handicap in life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their problem as a result of social stigmas that come with abusing drugs. Having said that, drug and alcohol treatment counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions so that rehab clients can know that they're not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services can be more tailor-made for each individual to ensure that their own challenges can be treated in rehab.