Hearing impaired persons generally have a greater risk of drug use issues due to their impairment, and treatment services have to be available to them which serves their needs. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that accompany having this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their problem due to social stigmas attached to substance abuse. Having said that, alcohol and drug rehabilitation counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions in order that treatment clients can know that they're not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services could be more tailored for everybody to ensure that their own challenges can be addressed in rehabilitation.