Hearing impaired persons generally have an elevated risk of drug abuse issues because of their impairment, and rehabilitation services have to be at hand which cater to their circumstances. People who are hearing impaired can appear alone, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then choose 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 everyday life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their issue as a result of social stigmas attached to abusing drugs. Nonetheless, alcohol and drug treatment counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions to ensure 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 everybody so that their own problems can be handled in rehabilitation.