Hearing impaired individuals tend to have an elevated likelihood of substance abuse issues due to their impairment, and rehabilitation services must be available to them which serves their circumstances. People who are hearing impaired can seem to be alone, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience 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 can be a challenge, as these individuals may try and hide their issue due to social stigmas attached to drug abuse. Nonetheless, drug and alcohol treatment counselors who offer rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a must, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support to ensure that treatment clients can know that they're not on their own, and that there's hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailored for each individual to ensure their unique problems can be handled in rehab.