Hearing impaired individuals tend to have an increased chance of drug use issues because of their impairment, and rehabilitation services have to be available which cater to their circumstances. People who are hearing impaired can feel alone, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that accompany possessing this handicap in daily life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their problem due to social stigmas that come with substance abuse. However, drug treatment counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support to ensure that rehab 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 each person so that their own problems can be handled in rehabilitation.