Hearing impaired men and women generally have an elevated likelihood of substance abuse issues because of their impairment, and rehabilitation services must be available which serves their circumstances. Individuals who are hearing impaired can appear isolated, lack motivation, and goalless for 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 life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their issue as a result of social stigmas that come with substance abuse. However, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are definitely a necessity, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer support so that rehabilitation clients can know that they're not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services can be more tailor-made for each individual to ensure that their particular challenges can be treated in rehabilitation.