Hearing impaired persons generally have a greater risk of drug use issues because of their impairment, and rehabilitation services should be at hand which cater to their circumstances. Those who are hearing impaired can feel alone, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that come with having this handicap in everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, as these individuals may try and hide their problem as a result of social stigmas attached to substance abuse. However, drug rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions to ensure treatment clients can know that they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services may be more tailor-made for each individual to ensure that their unique challenges can be addressed in rehabilitation.