Hearing impaired individuals tend to have an increased likelihood of drug use issues because of the impairment, and treatment services should be available which serves their needs. Individuals who are hearing impaired can appear alone, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological problems that accompany possessing this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may try to hide their problem as a result of social stigmas attached to abusing drugs. However, alcohol and drug rehab counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support to ensure treatment clients can know that they are not on their own, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services could be more tailored for everybody to ensure that their unique challenges can be handled in rehab.