Hearing impaired individuals tend to have a greater chance of substance abuse issues due to their impairment, and rehabilitation services must be available to them which cater to their needs. People who are hearing impaired can feel alone, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional challenges that come with possessing this handicap in daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may make an attempt to hide their problem as a result of social stigmas that come with drug use. Having said that, drug and alcohol treatment counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions to ensure that rehab clients can know that they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services may be more tailored for each individual to ensure their unique problems can be addressed in treatment.