Hearing impaired individuals tend to have an elevated likelihood of drug use issues due to their impairment, and rehab services have to be at hand which serves their needs. Those who are hearing impaired can appear alone, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological problems that accompany having this handicap in daily life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may try and hide their problem due to social stigmas attached to drug abuse. Nonetheless, alcohol and drug rehab counselors who offer treatment to hearing impaired individuals see 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 gives a venue for important peer interactions so that treatment clients can know that they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailored for everybody so that their own challenges can be handled in treatment.