Hearing impaired persons generally have a heightened risk of drug use issues because of their impairment, and rehabilitation services have to be available to them which serves their circumstances. People who are hearing impaired can appear isolated, unmotivated, and goalless for their impairment. Many 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 challenges that accompany possessing this handicap in everyday life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may make an attempt to hide their issue due to social stigmas attached to substance abuse. However, drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a must, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions so that rehab clients can know that they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services might be more tailored for everybody so that their own problems can be handled in rehabilitation.