Hearing impaired individuals generally have an elevated chance of substance abuse issues due to their impairment, and rehabilitation services must be available to them which cater to their circumstances. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany possessing this handicap in life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their problem due to social stigmas that come with drug use. Having said that, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehab services are definitely a necessity, as well as 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 that they are not on their own, and that there's hope to handle their problem with alcohol and drugs. Individual therapy services could be more tailor-made for everybody so that their unique challenges can be treated in treatment.