Hearing impaired persons generally have an elevated chance of substance abuse issues because of their impairment, and rehab services must be available which serves their circumstances. People who are hearing impaired can feel isolated, lack motivation, and goalless because of the impairment. Some 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 challenges that come with possessing this handicap in life. In the first place, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may try and hide their problem due to social stigmas that come with drug use. Nonetheless, drug treatment counselors who provide rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer support so that rehabilitation clients can know 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 each individual to ensure their particular challenges can be addressed in treatment.