Hearing impaired persons tend to have an elevated probability of substance abuse issues because of their impairment, and treatment services should be available which serves their needs. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals because of the impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional problems that accompany having this handicap in life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, since these individuals may attempt to hide their issue as a result of social stigmas that come with substance abuse. However, drug and alcohol rehab counselors who offer rehab to hearing impaired individuals see the challenges that 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 rehab clients can know that they're not on their own, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services might be more tailor-made for everybody to ensure that their own personal challenges can be handled in rehab.