Hearing impaired individuals generally have an increased likelihood of substance abuse issues because of the impairment, and rehab services should be at hand which serves their circumstances. People who are hearing impaired can seem to be alone, unmotivated, and goalless for their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological problems that come with possessing this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their problem as a result of social stigmas attached to drug abuse. However, drug and alcohol treatment counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support to ensure rehab 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 could be more tailor-made for each person so that their unique challenges can be remedied in rehabilitation.