Hearing impaired persons generally have an elevated likelihood of substance abuse issues due to their impairment, and treatment services have to be available which serves their needs. Individuals who are hearing impaired can appear isolated, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional problems that come with having this handicap in life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may make an attempt to hide their problem because of social stigmas that come with substance abuse. Having said that, drug rehabilitation counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are definitely a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions in order that rehabilitation clients can know they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services may be more tailored for everybody to ensure that their own personal problems can be remedied in rehab.