Hearing impaired persons tend to have a heightened chance of substance abuse issues because of the impairment, and rehabilitation services have to be at hand which cater to their needs. People who are hearing impaired can seem to be alone, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological problems that accompany possessing this handicap in everyday life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their issue as a result of social stigmas attached to drug use. Nonetheless, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are definitely a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support in order that treatment clients can know that they are not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services may be more tailored for each person to ensure that their particular problems can be handled in treatment.