Hearing impaired individuals tend to have an increased chance of substance abuse issues due to their impairment, and treatment services should be available which serves their circumstances. People who are hearing impaired can seem to be isolated, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional challenges that accompany having this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may try to hide their problem as a result of social stigmas attached to drug use. Having said that, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are definitely a necessity, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure that treatment clients can know they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services could be more tailor-made for everybody so that their unique problems can be addressed in rehab.