Hearing impaired individuals generally have an elevated risk of drug use issues because of their impairment, and rehab services have to be at hand which serves their needs. People who are hearing impaired can feel isolated, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that accompany possessing this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may make an attempt to hide their problem as a result of social stigmas attached to drug abuse. However, drug treatment counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions to ensure that rehabilitation clients can know that they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services could be more tailored for each person to ensure their own challenges can be remedied in rehabilitation.