Hearing impaired individuals tend to have an elevated likelihood of drug use issues because of their impairment, and treatment services must be available which serves their needs. Those who are hearing impaired can feel alone, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological problems that accompany having this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may try to hide their issue as a result of social stigmas attached to substance abuse. However, drug treatment counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions to ensure that treatment clients can know that they are not alone, and that there's hope to resolve their challenge with drugs and alcohol. Individual counseling services can be more tailored for each person so that their own personal problems can be remedied in rehab.