Hearing impaired persons generally have an increased risk of drug use issues because of their impairment, and treatment services must be available which cater to their needs. Individuals who are hearing impaired can appear isolated, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that accompany having this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may make an attempt to hide their problem because of social stigmas that come with substance abuse. Nonetheless, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are definitely a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions so 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 can be more tailor-made for everybody to ensure their own problems can be remedied in rehabilitation.