Hearing impaired men and women generally have an elevated chance of substance abuse issues due to their impairment, and rehab services have to be available which serves their needs. People who are hearing impaired can feel alone, unmotivated, and goalless because of their impairment. Some 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 accompany possessing this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may attempt to hide their problem as a result of social stigmas that come with drug use. However, alcohol and drug treatment counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions so that rehab clients can know they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services may be more tailor-made for each individual so that their unique problems can be remedied in rehabilitation.