Hearing impaired individuals generally have an elevated chance of substance abuse issues due to their impairment, and treatment services should be available to them which serves their circumstances. Individuals who are hearing impaired can appear alone, unmotivated, and goalless for their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that accompany possessing this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their issue due to social stigmas that come with drug abuse. Having said that, drug and alcohol treatment counselors who offer rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are definitely a must, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support so that treatment clients can know that they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services may be more tailor-made for each individual so that their own personal problems can be handled in rehab.