Hearing impaired individuals generally have an elevated risk of drug use issues because of their impairment, and rehabilitation services must be available which cater to their circumstances. People who are hearing impaired can seem to be isolated, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological challenges that come with having this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their issue because of social stigmas that come with substance abuse. Having said that, alcohol and drug treatment counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions in order that rehab clients can know they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services could be more tailor-made for everybody to ensure that their particular problems can be addressed in rehab.