Hearing impaired persons generally have a heightened probability of drug use issues because of the impairment, and treatment services have to be at hand which serves their circumstances. Individuals who are hearing impaired can appear alone, unmotivated, and goalless due to their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that come with having this handicap in life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their problem because of social stigmas that come with substance abuse. Nonetheless, alcohol and drug rehabilitation counselors who offer treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support in order that rehabilitation clients can know they are not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailor-made for each individual to ensure their particular problems can be addressed in treatment.