Hearing impaired individuals tend to have a heightened likelihood of drug abuse issues due to their impairment, and rehabilitation services must be available which cater to their needs. People 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 challenges that come with having this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may try and hide their problem due to social stigmas that come with drug abuse. However, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL rehab services are definitely a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support to ensure treatment clients can know that they're not on their own, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services could be more tailor-made for each person so that their own personal challenges can be treated in treatment.