Hearing impaired individuals generally have an increased probability of substance abuse issues due to their impairment, and rehabilitation services have to be available to them which cater to their circumstances. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals due to their 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 problems that come with having this handicap in life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, since these individuals may make an attempt to hide their issue due to social stigmas that come with abusing drugs. Having said that, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a must, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support to ensure that rehabilitation clients can know they are not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services can be more tailored for each individual so that their particular problems can be remedied in treatment.