Hearing impaired individuals tend to have an increased risk of drug use issues because of the impairment, and treatment services must be available to them which serves their circumstances. Individuals who are hearing impaired can appear alone, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that come with having this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their issue because of social stigmas that come with substance abuse. Nonetheless, drug and alcohol rehabilitation counselors who offer rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions in order that treatment clients can know they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services might be more tailored for each individual so that their unique problems can be handled in treatment.