Hearing impaired persons tend to have an elevated chance of substance abuse issues because of their impairment, and rehabilitation services have to be at hand which cater to their needs. People who are hearing impaired can appear alone, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological problems that accompany having this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, as these individuals may try to hide their issue due to social stigmas that come with abusing drugs. However, alcohol and drug rehab counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions so that treatment clients can know that they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services can be more tailored for each person to ensure their own challenges can be remedied in treatment.