Hearing impaired individuals tend to have an increased chance of substance abuse issues because of their impairment, and rehab services must be available to them which serves their circumstances. Individuals who are hearing impaired can appear alone, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional problems that accompany having this handicap in life. To begin with, detecting an alcohol and drug 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 drug abuse. However, alcohol and drug rehabilitation counselors who offer treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are definitely a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions to ensure treatment clients can know that they are not on their own, and that there's hope to resolve their challenge with drugs and alcohol. Individual counseling services could be more tailored for each person so that their unique problems can be handled in treatment.