Hearing impaired men and women tend to have an elevated probability of substance abuse issues because of the impairment, and rehabilitation services have to be available to them which serves their circumstances. Individuals who are hearing impaired can appear isolated, unmotivated, and goalless for their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that come with possessing this handicap in daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may make an attempt to hide their issue because of social stigmas attached to drug abuse. Having said that, alcohol and drug rehab counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are definitely a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions in order that rehab clients can know that they are not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services may be more tailored for everybody so that their own challenges can be handled in treatment.