Hearing impaired men and women tend to have a heightened chance of substance abuse issues because of their impairment, and rehabilitation services should be available which cater to their needs. Those who are hearing impaired can seem to be isolated, unmotivated, and goalless for their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological problems that accompany possessing this handicap in life. In the first place, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their issue as a result of social stigmas attached to drug abuse. Having said that, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer support to ensure that rehab clients can know they are not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services can be more tailored for each individual so that their particular challenges can be addressed in treatment.