Hearing impaired individuals generally have a greater likelihood of drug use issues because of the impairment, and rehabilitation services have to be at hand which cater to their circumstances. Those who are hearing impaired can seem to be alone, 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 have a temporary escape from the emotional and psychological challenges that accompany having this handicap in daily life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may make an attempt to hide their issue due to social stigmas that come with substance abuse. Having said that, drug rehabilitation counselors who provide treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are definitely a must, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions to ensure treatment clients can know they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services could be more tailored for everybody to ensure that their particular challenges can be treated in rehab.