Hearing impaired persons generally have an increased probability of drug abuse issues because of the impairment, and treatment services have to be available to them which serves their circumstances. Those who are hearing impaired can appear alone, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that come with possessing this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may make an attempt to hide their issue because of social stigmas attached to abusing drugs. Nonetheless, drug and alcohol rehabilitation counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehab services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support to ensure rehab clients can know that they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services could be more tailor-made for everybody to ensure that their own personal challenges can be handled in treatment.