Hearing impaired persons tend to have an elevated likelihood of drug abuse issues because of their impairment, and treatment services have to be available to them which cater to their circumstances. Those who are hearing impaired can feel isolated, unmotivated, and goalless because of the impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological problems that come with having this handicap in daily life. To begin 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 attached to substance abuse. Having said that, drug and alcohol rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support in order that rehab clients can know that they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services could be more tailor-made for each person so that their particular challenges can be addressed in rehabilitation.