Hearing impaired men and women tend to have a heightened risk of substance abuse issues because of the impairment, and rehabilitation services have to be at hand which cater to their needs. Those who are hearing impaired can appear isolated, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany having this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, since these individuals may make an attempt to hide their problem as a result of social stigmas attached to drug use. Having said that, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a must, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions to ensure treatment clients can know they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services could be more tailored for each person to ensure their particular problems can be handled in treatment.