Hearing impaired persons tend to have a heightened likelihood of drug use issues because of their impairment, and rehab services have to be at hand which cater to their needs. Individuals who are hearing impaired can appear alone, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that come with having this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may make an attempt to hide their issue because of social stigmas that come with drug use. Nonetheless, drug and alcohol rehabilitation counselors who offer treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support to ensure rehab clients can know they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services could be more tailor-made for each person to ensure their own problems can be handled in treatment.