Hearing impaired men and women tend to have an increased risk of substance abuse issues due to their impairment, and rehabilitation services have to be at hand which serves their needs. Individuals who are hearing impaired can seem to be alone, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that come with possessing this handicap in everyday life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, as these individuals may make an attempt to hide their problem due to social stigmas that come with substance abuse. Nonetheless, alcohol and drug rehabilitation counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are definitely a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions in order that rehab clients can know they are not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual therapy services might be more tailor-made for each person so that their own challenges can be addressed in treatment.