Hearing impaired individuals tend to have a heightened chance of substance abuse issues because of the impairment, and treatment services have to be at hand which serves their circumstances. Those who are hearing impaired can seem to be isolated, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that come with having this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may try and hide their issue due to social stigmas that come with abusing drugs. However, drug rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are definitely a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support so that rehab clients can know that they are not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services may be more tailored for each person to ensure their own personal challenges can be handled in rehab.