Hearing impaired individuals generally have an elevated probability of drug use issues because of the impairment, and rehab services have to be available to them which serves their circumstances. Individuals who are hearing impaired can appear alone, unmotivated, and goalless for their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological problems that accompany possessing this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may try and hide their issue because of social stigmas that come with substance abuse. However, drug and alcohol treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support so that rehab clients can know that they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services could be more tailored for each person to ensure that their particular challenges can be treated in treatment.