Hearing impaired persons tend to have an elevated risk of drug use issues because of the impairment, and rehabilitation services must be available which serves their circumstances. People who are hearing impaired can appear alone, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that accompany having this handicap in daily life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, because these individuals may try to hide their problem because of social stigmas attached to substance abuse. Nonetheless, alcohol and drug rehab counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are definitely a necessity, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions to ensure rehab clients can know they are not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services can be more tailor-made for everybody to ensure their own challenges can be remedied in treatment.