Hearing impaired men and women generally have an elevated risk of substance abuse issues due to their impairment, and rehab services must be at hand which serves their needs. People who are hearing impaired can feel isolated, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological problems that accompany possessing this handicap in daily life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their issue as a result of social stigmas that come with substance abuse. Nonetheless, drug rehabilitation counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure treatment clients can know they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services can be more tailor-made for everybody to ensure their unique problems can be addressed in treatment.