Hearing impaired men and women tend to have a greater risk of substance abuse issues because of the impairment, and rehabilitation services should be available which serves their circumstances. People who are hearing impaired can appear isolated, unmotivated, and goalless for 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 life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, since these individuals may try to hide their issue as a result of social stigmas attached to abusing drugs. Nonetheless, alcohol and drug treatment counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support to ensure rehabilitation clients can know they are not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services could be more tailored for each person to ensure their own personal problems can be treated in treatment.