Hearing impaired persons tend to have an increased chance of drug use issues because of their impairment, and rehabilitation services must be available to them which cater to their needs. People who are hearing impaired can appear isolated, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then elect 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 everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may attempt to hide their problem as a result of social stigmas attached to drug abuse. However, drug and alcohol treatment counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions so that rehab clients can know that they are not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual counseling services could be more tailored for each individual so that their particular problems can be treated in rehab.