Hearing impaired persons tend to have an elevated risk of drug use issues because of the impairment, and treatment services must be available to them which serves their circumstances. People who are hearing impaired can appear alone, lack motivation, and be without goals for their impairment. Some 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 problems that come with having this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, because these individuals may make an attempt to hide their problem as a result of social stigmas that come with substance abuse. Nonetheless, drug treatment counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support in order that treatment clients can know they are not alone, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services can be more tailor-made for each person so that their unique problems can be handled in rehabilitation.