Hearing impaired persons generally have a heightened risk of drug use issues because of the impairment, and rehabilitation services must be available which serves their circumstances. People who are hearing impaired can seem to be alone, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional problems that come with having this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may attempt to hide their problem as a result of social stigmas that come with abusing drugs. Having said that, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a must, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support to ensure treatment clients can know that they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services can be more tailor-made for each person so that their own challenges can be remedied in rehabilitation.