Hearing impaired persons generally have an elevated chance of substance abuse issues due to their impairment, and treatment services must be at hand which cater to their needs. Individuals who are hearing impaired can appear alone, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that accompany possessing this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their problem as a result of social stigmas that come with substance abuse. However, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions so that rehab clients can know they are not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services may be more tailor-made for everybody to ensure that their own challenges can be addressed in treatment.