Hearing impaired men and women tend to have an elevated chance of substance abuse issues because of their impairment, and rehab services should be available which serves their circumstances. People who are hearing impaired can seem to be isolated, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that come with possessing this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may attempt to hide their issue as a result of social stigmas attached to substance abuse. Nonetheless, drug rehabilitation counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are of course a must, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support so that treatment clients can know that they are not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services can be more tailor-made for everybody so that their own problems can be remedied in rehab.