Hearing impaired persons tend to have a heightened chance of drug use issues because of the impairment, and rehabilitation services have to be available which cater to their needs. Those who are hearing impaired can seem to be alone, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany possessing this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their issue because of social stigmas that come with drug abuse. Having said that, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions so that treatment clients can know they are not on their own, and that there's hope to resolve their challenge with alcohol and drugs. Individual counseling services may be more tailored for each individual to ensure that their own problems can be remedied in rehab.