Hearing impaired men and women generally have a greater probability of substance abuse issues due to their impairment, and rehabilitation services have to be available to them which serves their needs. People who are hearing impaired can feel alone, lack motivation, and be without goals due to their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany possessing this handicap in everyday life. In the first place, 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 issue because of social stigmas that come with drug abuse. Nonetheless, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a must, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions to ensure that rehabilitation clients can know they are not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services may be more tailored for everybody to ensure their own problems can be handled in rehabilitation.