Hearing impaired persons tend to have an elevated chance of substance abuse issues due to their impairment, and treatment services have to be available which serves their circumstances. People who are hearing impaired can appear isolated, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany possessing this handicap in life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, as these individuals may make an attempt to hide their issue due to social stigmas attached to substance abuse. However, alcohol and drug rehab counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions to ensure rehab clients can know that they are not alone, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services can be more tailor-made for each person so that their unique challenges can be handled in rehab.