Hearing impaired persons tend to have a heightened risk of substance abuse issues because of the impairment, and rehabilitation services must be available to them which cater to their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and goalless because of their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological problems that come with having this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may make an attempt to hide their issue as a result of social stigmas that come with drug abuse. However, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are definitely a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support to ensure that rehabilitation clients can know they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services could be more tailored for each individual so that their own challenges can be remedied in rehabilitation.