Hearing impaired men and women generally have an elevated chance of substance abuse issues due to their impairment, and treatment services must be at hand which serves their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and be without goals due to their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological challenges that come with having this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may attempt to hide their issue due to social stigmas attached to abusing drugs. Having said that, drug rehab counselors who offer rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions to ensure treatment clients can know they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services could be more tailor-made for each individual so that their own challenges can be remedied in rehabilitation.