Hearing impaired persons generally have an elevated probability of substance abuse issues because of their impairment, and treatment services have to be available which serves their needs. People who are hearing impaired can feel isolated, lack motivation, and be without goals for their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany having this handicap in life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may make an attempt to hide their issue because of social stigmas attached to abusing drugs. Nonetheless, drug and alcohol rehabilitation counselors who offer treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a must, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support in order that treatment clients can know they are not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual counseling services can be more tailored for each individual to ensure their particular problems can be treated in treatment.