Hearing impaired persons generally have a greater chance of drug use issues because of their impairment, and rehabilitation services must be at hand which cater to their needs. Individuals who are hearing impaired can seem to be alone, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that accompany having this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may make an attempt to hide their issue as a result of social stigmas attached to drug use. Having said that, drug and alcohol treatment counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are definitely a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions so that treatment clients can know they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services may be more tailored for each person to ensure their own challenges can be treated in rehabilitation.