Hearing impaired men and women tend to have an elevated likelihood of substance abuse issues because of the impairment, and rehab services should be available which serves their needs. People who are hearing impaired can feel isolated, unmotivated, and goalless due to their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany possessing this handicap in life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their problem due to social stigmas that come with drug use. However, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions to ensure rehab clients can know that they're not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual counseling services could be more tailored for each person so that their particular problems can be handled in rehab.