Hearing impaired persons tend to have a greater probability of drug use issues because of the impairment, and rehabilitation services have to be available to them which cater to their needs. People who are hearing impaired can seem to be isolated, lack motivation, 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 escape from the emotional and psychological challenges that accompany having this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their issue because of social stigmas attached to abusing drugs. Nonetheless, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure rehabilitation 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 could be more tailor-made for each individual to ensure that their particular problems can be handled in rehabilitation.