Hearing impaired men and women tend to have an increased chance of substance abuse issues due to their impairment, and rehabilitation services must be at hand which serves their needs. Those who are hearing impaired can appear isolated, unmotivated, and goalless due to their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that accompany having this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may try to hide their problem because of social stigmas attached to drug abuse. Having said that, drug rehabilitation counselors who provide rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions so that treatment clients can know they are not alone, and that there's hope to resolve their challenge with alcohol and drugs. Individual therapy services can be more tailor-made for each person so that their particular challenges can be treated in rehabilitation.