Hearing impaired persons generally have an elevated probability of drug use issues because of their impairment, and rehabilitation services should be at hand which serves their circumstances. Individuals who are hearing impaired can seem to be alone, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological challenges that come with possessing this handicap in everyday life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their problem due to social stigmas that come with substance abuse. However, drug treatment counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are definitely a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support to ensure rehab clients can know they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services might be more tailored for each person to ensure that their particular challenges can be treated in treatment.