Hearing impaired individuals tend to have an increased probability of substance abuse issues because of their impairment, and treatment services must be available which cater to their circumstances. Those who are hearing impaired can appear alone, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany having this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their issue because of social stigmas attached to substance abuse. Having said that, drug rehabilitation counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehab services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support to ensure that rehab clients can know they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services could be more tailor-made for each individual to ensure that their unique challenges can be remedied in rehab.