Hearing impaired individuals tend to have a heightened probability of substance abuse issues due to their impairment, and rehab services must be available to them which cater to their circumstances. People who are hearing impaired can feel isolated, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany possessing this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may make an attempt to hide their problem due to social stigmas that come with substance abuse. Having said that, alcohol and drug rehab counselors who offer rehabilitation to hearing impaired individuals see the challenges 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 provides a venue for important peer interactions so that rehabilitation clients can know they are not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services can be more tailor-made for everybody to ensure their particular problems can be addressed in treatment.