Hearing impaired individuals generally have a heightened probability of drug abuse issues due to their impairment, and treatment services must be available which serves their needs. People who are hearing impaired can feel isolated, unmotivated, 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 release from the psychological and emotional challenges that accompany possessing this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may try to hide their issue as a result of social stigmas attached to substance abuse. Nonetheless, alcohol and drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a must, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions to ensure that rehab clients can know they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services could be more tailored for each person to ensure their unique problems can be treated in rehab.