Hearing impaired persons tend to have a greater probability of drug abuse issues because of their impairment, and treatment services should be at hand which serves their needs. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals because of the impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional problems that come with having this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may attempt to hide their issue because of social stigmas that come with substance abuse. However, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions in order that rehabilitation clients can know that they are not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services may be more tailored for everybody to ensure that their own personal challenges can be addressed in rehab.