Hearing impaired persons tend to have an elevated risk of drug abuse issues because of their impairment, and treatment services must be available to them which serves their circumstances. Those who are hearing impaired can appear alone, unmotivated, and goalless because of the impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that come with having this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their problem due to social stigmas that come with substance abuse. However, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as are rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions to ensure that rehabilitation clients can know that they are not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services could be more tailor-made for everybody so that their own challenges can be handled in rehabilitation.