Hearing impaired individuals tend to have an increased risk of substance abuse issues because of the impairment, and treatment services should be available which serves their needs. Individuals who are hearing impaired can feel alone, unmotivated, and goalless because of the impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that accompany having this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired is usually a challenge, because these individuals may try and hide their problem because of social stigmas that come with substance abuse. Nonetheless, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions to ensure rehabilitation clients can know that they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services can be more tailor-made for everybody so that their unique challenges can be addressed in treatment.