Hearing impaired individuals tend to have an elevated probability of substance abuse issues because of their impairment, and rehabilitation services must be available which cater to their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and goalless because of the impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that come with possessing this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may try to hide their problem as a result of social stigmas that come with substance abuse. However, drug rehabilitation counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a necessity, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions to ensure treatment clients can know that they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services can be more tailored for each person so that their own problems can be addressed in treatment.