Hearing impaired individuals generally have an elevated probability of substance abuse issues because of their impairment, and treatment services should be at hand which serves their needs. People who are hearing impaired can feel alone, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional challenges that accompany possessing this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their problem because of social stigmas attached to abusing drugs. However, drug rehab counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support so that treatment clients can know that they are not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual counseling services could be more tailor-made for everybody so that their particular challenges can be remedied in rehabilitation.