Hearing impaired persons tend to have a heightened probability of substance abuse issues because of their impairment, and treatment services must be available to them which serves their needs. Those who are hearing impaired can feel isolated, lack motivation, and be without goals due to their 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, because these individuals may attempt to hide their problem due to social stigmas attached to drug abuse. Having said that, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals see 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 encounter. Group therapy offers a venue for important peer support to ensure that rehab clients can know they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services might be more tailor-made for each individual to ensure their particular challenges can be addressed in rehab.