Hearing impaired persons tend to have an elevated likelihood of substance abuse issues because of the impairment, and treatment services should be at hand which serves their circumstances. Individuals who are hearing impaired can appear alone, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany possessing this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, because these individuals may try to hide their issue due to social stigmas that come with substance abuse. However, drug and alcohol rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support to ensure that rehabilitation clients can know that they're not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services could be more tailor-made for everybody to ensure their own problems can be handled in rehabilitation.