Hearing impaired persons generally have a heightened probability of drug use issues because of their impairment, and treatment services have to be available which cater to their needs. People who are hearing impaired can appear isolated, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological problems that accompany possessing this handicap in life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may try and hide their problem as a result of social stigmas attached to drug abuse. Nonetheless, drug rehabilitation counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a must, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support so that treatment clients can know that they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services may be more tailored for everybody to ensure that their unique problems can be addressed in rehab.