Hearing impaired persons tend to have an elevated probability of substance abuse issues because of the impairment, and treatment services must be available to them which cater to their circumstances. People who are hearing impaired can appear alone, lack motivation, and be without goals because of the impairment. Many 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 possessing this handicap in life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, because these individuals may make an attempt to hide their issue as a result of social stigmas that come with drug abuse. Nonetheless, drug rehab counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions to ensure treatment clients can know that they are not on their own, and that there's hope to handle their challenge with alcohol and drugs. Individual counseling services could be more tailored for everybody to ensure their unique problems can be handled in treatment.