Hearing impaired individuals generally have a heightened chance of drug abuse issues due to their impairment, and rehabilitation services should be available which cater to their circumstances. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional challenges that accompany having this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may try and hide their problem due to social stigmas attached to substance abuse. Having said that, drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are definitely a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure that treatment clients can know that they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services could be more tailor-made for each individual to ensure that their unique problems can be handled in rehab.