Hearing impaired individuals generally have a heightened likelihood of substance abuse issues because of their impairment, and rehabilitation services should be available to them which cater to their needs. Those who are hearing impaired can seem to be isolated, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional problems that come with possessing this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may attempt to hide their issue as a result of social stigmas attached to substance abuse. Nonetheless, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions to ensure that rehabilitation clients can know they are not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services could be more tailor-made for everybody to ensure that their particular problems can be addressed in rehabilitation.