Hearing impaired individuals generally have an elevated probability of drug use issues because of their impairment, and rehab services have to be available to them which cater to their circumstances. Those who are hearing impaired can appear alone, unmotivated, and goalless due to their 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 psychological and emotional problems that accompany possessing this handicap in daily life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, since these individuals may make an attempt to hide their problem because of social stigmas attached to abusing drugs. However, alcohol and drug treatment counselors who offer rehab to hearing impaired individuals see the challenges these clients face. ASL rehab services are of course a must, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support to ensure rehab clients can know they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailor-made for each person so that their particular challenges can be addressed in treatment.