Hearing impaired persons generally have a heightened likelihood of drug use issues because of the impairment, and rehabilitation services must be available to them which cater to their needs. People who are hearing impaired can seem to be isolated, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany having this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may attempt to hide their problem as a result of social stigmas that come with drug abuse. However, alcohol and drug treatment counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions so that rehabilitation clients can know that they're not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual counseling services might be more tailor-made for everybody to ensure that their own challenges can be treated in rehabilitation.