Hearing impaired persons generally have an increased probability of substance abuse issues due to their impairment, and rehab services must be available which cater to their circumstances. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that come with having this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their problem because of social stigmas that come with drug abuse. Having said that, alcohol and drug treatment counselors who offer treatment 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 particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions so that treatment clients can know that 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 each individual so that their unique challenges can be treated in treatment.