Hearing impaired individuals tend to have an increased chance of drug use issues because of their impairment, and rehabilitation services must be available which serves their needs. Those who are hearing impaired can seem to be isolated, unmotivated, and be without goals due to their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional challenges that accompany having this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their problem because of social stigmas that come with substance abuse. However, drug treatment counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions so that rehabilitation clients can know that they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services can be more tailored for each individual so that their own personal problems can be handled in rehabilitation.