Hearing impaired men and women generally have an increased likelihood of substance abuse issues because of their impairment, and treatment services must be at hand which serves their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and goalless for their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that come with possessing this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may try and hide their issue as a result of social stigmas that come with substance abuse. However, alcohol and drug rehab counselors who provide rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL rehab services are definitely a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions in order that rehabilitation clients can know they are not on their own, and that there's hope to resolve their problem with alcohol and drugs. Individual therapy services could be more tailor-made for each person to ensure their particular problems can be addressed in rehabilitation.