Hearing impaired individuals tend to have a greater probability of substance abuse issues due to their impairment, and rehabilitation services must be at hand which cater to their circumstances. Those who are hearing impaired can appear alone, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that accompany possessing this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their issue because of social stigmas that come with drug use. However, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are definitely a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer support to ensure rehab clients can know they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services can be more tailored for each person to ensure their own personal challenges can be handled in rehabilitation.