Hearing impaired persons generally have an increased likelihood of substance abuse issues due to their impairment, and rehabilitation services must be available to them which cater to their needs. People who are hearing impaired can feel isolated, lack motivation, and goalless for their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that come with having this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, since these individuals may try to hide their issue due to social stigmas that come with drug use. However, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are definitely a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure treatment clients can know that they are not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual therapy services might be more tailored for each person to ensure their own personal challenges can be remedied in rehab.