Hearing impaired persons generally have an increased chance of substance abuse issues because of their impairment, and rehab services have to be available to them which cater to their needs. People who are hearing impaired can feel isolated, lack motivation, and be without goals for their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that come with possessing this handicap in everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their issue as a result of social stigmas that come with drug abuse. However, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are definitely a necessity, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions so that rehabilitation clients can know that they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services may be more tailor-made for each individual to ensure that their particular problems can be addressed in treatment.