Hearing impaired individuals tend to have a heightened risk of substance abuse issues because of their impairment, and treatment services should be available which serves their circumstances. People who are hearing impaired can appear isolated, lack motivation, and goalless for their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that come with possessing this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may attempt to hide their problem because of social stigmas that come with drug use. However, alcohol and drug rehabilitation counselors who provide rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are definitely a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support in order that treatment clients can know they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services could be more tailored for everybody to ensure that their particular problems can be treated in treatment.