Hearing impaired individuals generally have an elevated likelihood of drug use issues due to their impairment, and rehabilitation services must be at hand which cater to their needs. People who are hearing impaired can feel alone, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional problems that accompany possessing this handicap in life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their issue due to social stigmas that come with abusing drugs. However, drug treatment counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a necessity, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support to ensure treatment clients can know that they are not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services might be more tailored for each individual to ensure their particular problems can be addressed in rehab.