Hearing impaired individuals generally have a heightened likelihood of substance abuse issues because of the impairment, and rehab services should be available which serves their circumstances. People who are hearing impaired can seem to be alone, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological problems that come with possessing this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may try to hide their problem because of social stigmas attached to abusing drugs. Having said that, alcohol and drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals comprehend 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 face. Group therapy gives a venue for important peer interactions so that rehabilitation clients can know that they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services may be more tailor-made for each person so that their particular problems can be treated in rehab.