Hearing impaired persons generally have an elevated probability of drug use issues due to their impairment, and rehabilitation services must be available to them which cater to their circumstances. Those who are hearing impaired can seem to be alone, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological challenges that come with having this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their issue as a result of social stigmas attached to drug use. Nonetheless, drug and alcohol treatment counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are definitely a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions so that treatment clients can know that they're not on their own, and that there's hope to resolve their problem with alcohol and drugs. Individual therapy services can be more tailored for each individual so that their own personal problems can be remedied in treatment.