Hearing impaired persons generally have an increased probability of substance abuse issues because of the impairment, and rehabilitation services must be available which serves their circumstances. People who are hearing impaired can appear isolated, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that accompany possessing this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may make an attempt to hide their problem due to social stigmas attached to drug use. Having said that, drug rehabilitation counselors who offer rehab to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions to ensure rehab clients can know they are not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual therapy services could be more tailored for each person to ensure their own challenges can be remedied in rehabilitation.