Hearing impaired individuals generally have an increased likelihood of substance abuse issues due to their impairment, and treatment services have to be available which cater to their circumstances. Individuals who are hearing impaired can appear alone, lack motivation, and goalless for their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological challenges that come with possessing this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may try and hide their issue because of social stigmas that come with abusing drugs. Nonetheless, alcohol and drug rehab counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehab services are definitely a must, as are rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions in order that rehabilitation clients can know they are not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services can be more tailor-made for everybody so that their own personal problems can be handled in rehabilitation.