Hearing impaired persons generally have a greater probability of drug abuse issues because of the impairment, and rehab services must be available which cater to their circumstances. Those who are hearing impaired can seem to be alone, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that accompany having this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their issue as a result of social stigmas attached to drug use. Having said that, 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 treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support in order that rehabilitation clients can know they are not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services may be more tailor-made for each individual so that their own personal challenges can be handled in rehabilitation.