Hearing impaired persons generally have an increased chance of substance abuse issues because of their impairment, and treatment services should be available which serves their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional problems that come with possessing this handicap in life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, since these individuals may try and hide their problem because of social stigmas attached to substance abuse. Having said that, alcohol and drug rehabilitation counselors who offer rehab to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions to ensure rehab clients can know that they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services might be more tailored for each individual to ensure their own personal challenges can be addressed in rehabilitation.