Hearing impaired individuals generally have an elevated probability of substance abuse issues due to their impairment, and treatment services must be at hand which serves their needs. Individuals who are hearing impaired can appear alone, unmotivated, and goalless because of their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological problems that accompany possessing this handicap in life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, as these individuals may make an attempt to hide their problem as a result of social stigmas that come with substance abuse. Having said that, alcohol and drug rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions so that rehabilitation clients can know they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services might be more tailor-made for everybody to ensure their own personal challenges can be treated in rehab.