Hearing impaired individuals generally have a heightened likelihood of drug use issues because of their impairment, and rehab services should be available which serves their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and goalless for their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release 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 make an attempt to hide their issue due to social stigmas that come with substance abuse. Nonetheless, alcohol and drug rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions so that rehab clients can know they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services might be more tailored for each individual to ensure that their unique challenges can be remedied in treatment.