Hearing impaired individuals tend to have an elevated likelihood 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, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany possessing this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may try and hide their problem due to social stigmas attached to substance abuse. Nonetheless, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a necessity, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions in order that treatment clients can know that they are not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services may be more tailored for everybody to ensure that their own problems can be remedied in treatment.