Hearing impaired persons tend to have an increased probability of substance abuse issues because of their impairment, and treatment services should be available which serves their circumstances. Individuals who are hearing impaired can appear alone, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that accompany possessing this handicap in life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their problem as a result of social stigmas that come with substance abuse. However, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support in order that rehab clients can know that they're not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services can be more tailored for each person so that their own personal challenges can be handled in rehab.