Hearing impaired individuals tend to have an elevated probability of substance abuse issues because of their impairment, and rehabilitation services must be available which serves their needs. People who are hearing impaired can feel isolated, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then decide 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 everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may try and hide their issue due to social stigmas that come with drug use. However, alcohol and drug treatment counselors who offer treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are definitely a must, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support in order that rehab clients can know that they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services could be more tailor-made for everybody to ensure that their particular challenges can be remedied in rehab.