Hearing impaired persons generally have a heightened probability of drug use issues because of the impairment, and treatment services have to be at hand which serves their circumstances. Those who are hearing impaired can seem to be alone, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany having this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may try to hide their problem because of social stigmas that come with drug use. Having said that, drug and alcohol rehabilitation counselors who offer rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions in order that treatment clients can know they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services can be more tailored for each person to ensure their own personal problems can be treated in rehabilitation.