Hearing impaired persons tend to have a heightened risk of drug abuse issues because of their impairment, and treatment services should be available which serves their needs. Individuals who are hearing impaired can seem to be alone, unmotivated, and goalless for their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that come with possessing this handicap in life. To start 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 that come with drug abuse. However, drug and alcohol rehabilitation counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions so that rehabilitation clients can know they are not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services might be more tailor-made for each individual so that their own personal challenges can be addressed in rehabilitation.