Hearing impaired individuals tend to have an increased chance of substance abuse issues because of the impairment, and treatment services have to be at hand which cater to their circumstances. Individuals who are hearing impaired can feel isolated, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that come with possessing this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their issue as a result of social stigmas attached to substance abuse. However, alcohol and drug rehabilitation counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehab services are definitely a necessity, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions to ensure that treatment clients can know that they are not on their own, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services could be more tailor-made for everybody so that their particular problems can be remedied in rehab.