Hearing impaired individuals tend to have an elevated likelihood of substance abuse issues because of the impairment, and treatment services should be available which serves their needs. Those who are hearing impaired can appear alone, lack motivation, and be without goals due to their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional problems that accompany possessing this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, because these individuals may try and hide their issue due to social stigmas attached to abusing drugs. Having said that, drug treatment counselors who provide treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support so that rehab clients can know they are not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services might be more tailored for everybody to ensure that their unique challenges can be treated in rehabilitation.