Hearing impaired individuals generally have an elevated probability of drug use issues because of the impairment, and rehabilitation services should be at hand which cater to their needs. Those who are hearing impaired can appear isolated, lack motivation, and goalless for their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that come with possessing this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their problem because of social stigmas that come with substance abuse. Nonetheless, drug and alcohol rehab counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions so that rehabilitation clients can know they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services could be more tailored for each person so that their unique problems can be addressed in treatment.