Hearing impaired individuals generally have an elevated likelihood of substance abuse issues due to their impairment, and rehabilitation services must be available which serves their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then choose 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 substance abuse problem among the hearing impaired is usually a challenge, as these individuals may make an attempt to hide their problem due to social stigmas that come with abusing drugs. Nonetheless, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are definitely a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support in order that rehab clients can know they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services may be more tailored for each individual to ensure that their own personal problems can be treated in rehabilitation.