Hearing impaired individuals generally have a heightened risk of drug use issues due to their impairment, and rehabilitation services have to be available to them which cater to their circumstances. People who are hearing impaired can appear isolated, unmotivated, and goalless due to 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 emotional and psychological challenges that come with possessing this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their problem due to social stigmas attached to drug use. Nonetheless, alcohol and drug rehab counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are definitely a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions so that rehab clients can know they are not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual therapy services could be more tailored for each person to ensure their own personal problems can be handled in rehabilitation.