Hearing impaired persons tend to have a greater probability of substance abuse issues because of their impairment, and treatment services should be available to them which serves their needs. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals due to their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological challenges that come with possessing this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may make an attempt to hide their problem as a result of social stigmas that come with drug use. Having said that, alcohol and drug rehabilitation counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support in order that rehab clients can know they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual therapy services might be more tailor-made for each person to ensure that their unique challenges can be addressed in rehab.