Hearing impaired individuals generally have a heightened risk of drug use issues due to their impairment, and treatment services must be at hand which cater to their circumstances. Individuals who are hearing impaired can seem to be isolated, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that come with having this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their problem because of social stigmas that come with substance abuse. Nonetheless, alcohol and drug rehabilitation counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are definitely a must, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions so that rehab clients can know they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual therapy services may be more tailor-made for each individual to ensure their own problems can be remedied in rehabilitation.