Hearing impaired individuals tend to have an elevated probability of substance abuse issues because of the impairment, and rehab services have to be available to them which serves their circumstances. Individuals who are hearing impaired can feel alone, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that come with possessing this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their problem because of social stigmas that come with drug abuse. However, drug treatment counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are definitely a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support in order that rehabilitation clients can know they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services may be more tailored for each person to ensure their own problems can be treated in rehabilitation.