Hearing impaired persons tend to have a greater probability of substance abuse issues due to their impairment, and treatment services have to be available which serves their circumstances. Individuals who are hearing impaired can seem to be isolated, lack motivation, and be without goals due to their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that accompany possessing this handicap in everyday life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, as these individuals may try and hide their issue due to social stigmas that come with substance abuse. Nonetheless, alcohol and drug rehabilitation counselors who provide rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are definitely a must, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure rehab clients can know they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services could be more tailor-made for each individual to ensure that their own problems can be handled in treatment.