Hearing impaired persons generally have a greater chance of drug use issues because of their impairment, and rehab services should be available which serves their circumstances. Individuals who are hearing impaired can appear alone, lack motivation, and be without goals due to their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional problems that come with possessing this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may attempt to hide their problem due to social stigmas attached to abusing drugs. However, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals understand 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 gives a forum for important peer interactions to ensure treatment clients can know that they're not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services could be more tailored for each individual to ensure that their own personal challenges can be addressed in rehab.