Hearing impaired men and women generally have a heightened probability of substance abuse issues because of their impairment, and rehabilitation services must be available to them which cater to their circumstances. Those who are hearing impaired can seem to be isolated, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that come with having this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may make an attempt to hide their problem because of social stigmas that come with drug abuse. However, alcohol and drug rehabilitation counselors who offer rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are of course a must, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions to ensure that treatment 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 could be more tailor-made for each person to ensure their particular challenges can be handled in treatment.