Hearing impaired individuals tend to have an increased likelihood of drug use issues due to their impairment, and treatment services must be available to them which serves their needs. Those who are hearing impaired can seem to be isolated, unmotivated, and goalless due to their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional challenges that come with having this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may attempt to hide their problem as a result of social stigmas attached to substance abuse. Having said that, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions to ensure that rehabilitation clients can know that they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services could be more tailor-made for each individual to ensure that their particular challenges can be handled in rehabilitation.