Hearing impaired individuals tend to have a heightened likelihood of substance abuse issues due to their impairment, and rehabilitation services must be available to them which serves their circumstances. People who are hearing impaired can appear alone, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then opt 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 having this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may try to hide their problem due to social stigmas that come with drug use. However, drug rehabilitation counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support in order that treatment clients can know that they're not alone, and that there's hope to handle their problem with alcohol and drugs. Individual counseling services might be more tailored for each person to ensure that their own problems can be remedied in rehab.