Hearing impaired individuals generally have a heightened chance of drug abuse issues because of the impairment, and rehab services must be at hand which serves their circumstances. Individuals who are hearing impaired can appear alone, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that come with having this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may try and hide their problem as a result of social stigmas attached to substance abuse. Having said that, drug treatment counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support in order that rehabilitation clients can know they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services could be more tailored for each individual to ensure that their particular problems can be treated in treatment.