Hearing impaired individuals generally have an elevated chance of drug use issues because of the impairment, and treatment services have to be available to them which cater to their needs. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that come with possessing this handicap in life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may try and hide their problem due to social stigmas that come with abusing drugs. However, drug and alcohol treatment counselors who offer rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a must, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions to ensure that treatment clients can know they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services can be more tailored for everybody to ensure their particular challenges can be handled in rehabilitation.