Hearing impaired individuals generally have a greater probability of substance abuse issues due to their impairment, and rehabilitation services must be available to them which serves their needs. Those who are hearing impaired can appear alone, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological problems that come with possessing this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their problem due to social stigmas that come with substance abuse. Nonetheless, alcohol and drug treatment counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support to ensure rehabilitation clients can know that they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual therapy services could be more tailor-made for everybody so that their particular challenges can be addressed in rehab.