Hearing impaired persons generally have a greater likelihood of drug use issues because of the impairment, and treatment services have to be available which serves their needs. Individuals who are hearing impaired can seem to be alone, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional challenges that come with having this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired is usually a challenge, because these individuals may make an attempt to hide their problem because of social stigmas that come with abusing drugs. Having said that, drug treatment counselors who provide rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are definitely a must, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions so that rehabilitation clients can know they are not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services might be more tailor-made for everybody to ensure their own personal challenges can be handled in rehabilitation.