Hearing impaired individuals tend to have an increased risk of drug use issues because of the impairment, and treatment services must be at hand which serves their needs. People who are hearing impaired can seem to be alone, lack motivation, and be without goals due to their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany having this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, since these individuals may try to hide their issue because of social stigmas that come with drug abuse. Nonetheless, alcohol and drug rehabilitation counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions to ensure that rehab clients can know they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services can be more tailored for each individual to ensure their own challenges can be addressed in treatment.