Hearing impaired persons generally have an elevated chance of drug use issues due to their impairment, and rehabilitation services should be available which cater to their circumstances. Those who are hearing impaired can seem to be alone, unmotivated, and goalless for their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional problems that come with having this handicap in life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may try and hide their problem as a result of social stigmas that come with substance abuse. However, drug and alcohol rehab counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions to ensure that rehab clients can know that they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services can be more tailor-made for each individual to ensure that their unique problems can be treated in treatment.