Hearing impaired individuals tend to have a greater likelihood of substance abuse issues because of their impairment, and rehab services have to be at hand which serves their circumstances. People who are hearing impaired can feel alone, lack motivation, and be without goals due to their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that come with possessing this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may try and hide their problem because of social stigmas that come with substance abuse. Nonetheless, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are definitely a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support in order that treatment clients can know that they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services may be more tailor-made for each person so that their particular problems can be treated in rehab.