Hearing impaired individuals tend to have an elevated probability of substance abuse issues due to their impairment, and treatment services must be at hand which serves their needs. Individuals who are hearing impaired can feel alone, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional challenges that come with possessing this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, as these individuals may try and hide their issue because of social stigmas that come with substance abuse. Nonetheless, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals see 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 encounter. Group therapy offers a forum for important peer interactions to ensure treatment clients can know that they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services may be more tailored for everybody to ensure their own personal problems can be addressed in rehab.