Hearing impaired persons tend to have an increased likelihood of substance abuse issues because of the impairment, and rehabilitation services must be available to them which cater to their circumstances. Those who are hearing impaired can feel isolated, lack motivation, and be without goals for their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany having this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their problem due to social stigmas that come with substance abuse. Having said that, drug and alcohol treatment counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are definitely a necessity, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions to ensure rehab clients can know that they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services could be more tailor-made for each person to ensure their particular problems can be addressed in rehab.