Hearing impaired individuals tend to have an elevated chance of substance abuse issues because of the impairment, and rehabilitation services have to be available which serves their circumstances. People who are hearing impaired can feel isolated, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional problems that accompany possessing this handicap in life. Firstly, 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 attached to substance abuse. However, drug rehabilitation counselors who offer rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a must, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure that treatment clients can know that they are not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual therapy services could be more tailor-made for each individual so that their own problems can be handled in treatment.