Hearing impaired persons generally have an increased probability of substance abuse issues due to their impairment, and treatment services must be available which serves their needs. People who are hearing impaired can appear isolated, unmotivated, and goalless due to their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that come with possessing this handicap in life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, since these individuals may attempt to hide their issue as a result of social stigmas attached to substance abuse. Nonetheless, drug treatment counselors who offer treatment to hearing impaired individuals see 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 face. Group therapy offers a forum for important peer interactions to ensure rehab clients can know that they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services could be more tailor-made for each individual to ensure that their unique challenges can be addressed in rehab.