Hearing impaired individuals generally have an elevated risk of drug use issues because of their impairment, and treatment services should be at hand which serves their needs. Those who are hearing impaired can feel isolated, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional challenges that accompany having this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their issue because of social stigmas attached to substance abuse. Nonetheless, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a must, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support so that rehab clients can know they are not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailor-made for each individual so that their unique problems can be addressed in rehabilitation.