Hearing impaired persons generally have an elevated chance of substance abuse issues because of their impairment, and rehabilitation services should be available to them which serves their circumstances. Those who are hearing impaired can feel isolated, lack motivation, and be without goals because of the impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional problems that come with having this handicap in daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may make an attempt to hide their issue because of social stigmas attached to substance abuse. However, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a necessity, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer support to ensure that rehab clients can know they are not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services might be more tailor-made for each individual to ensure their unique challenges can be handled in rehabilitation.