Hearing impaired persons generally have an elevated risk of drug use issues because of their impairment, and rehab services must be at hand which serves their circumstances. Individuals who are hearing impaired can feel isolated, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that accompany having this handicap in daily life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, because these individuals may try to hide their problem due to social stigmas that come with drug use. Nonetheless, drug treatment counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure that treatment 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 to ensure their own problems can be treated in rehab.