Hearing impaired individuals generally have an elevated chance of substance abuse issues because of their impairment, and rehabilitation services have to be at hand which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that come with having this handicap in life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, since these individuals may make an attempt to hide their problem due to social stigmas attached to drug use. Nonetheless, drug and alcohol rehabilitation counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL treatment services are of course a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions so that treatment clients can know they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services could be more tailor-made for everybody to ensure that their own personal challenges can be remedied in treatment.