Hearing impaired men and women generally have an increased likelihood of substance abuse issues because of the impairment, and rehab services have to be at hand which serves their needs. People who are hearing impaired can seem to be isolated, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional problems that accompany having this handicap in life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their problem because of social stigmas that come with substance abuse. However, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a necessity, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer support so that rehab clients can know that they are not alone, and that there's hope to resolve their challenge with alcohol and drugs. Individual therapy services might be more tailor-made for everybody so that their own problems can be handled in rehabilitation.