Hearing impaired individuals tend to have a heightened chance of substance abuse issues due to their impairment, and treatment services must be available to them which serves their circumstances. People who are hearing impaired can appear alone, unmotivated, and goalless due to their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional problems that accompany having this handicap in life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may try to hide their problem as a result of social stigmas that come with drug abuse. However, drug and alcohol rehabilitation counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are definitely a necessity, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support in order that treatment clients can know that they are not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailor-made for each person so that their own problems can be treated in rehabilitation.