Hearing impaired persons generally have a heightened chance of drug use issues because of their impairment, and rehabilitation services should be at hand which serves their circumstances. People who are hearing impaired can seem to be isolated, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany having this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may attempt to hide their problem due to social stigmas attached to substance abuse. Having said that, drug and alcohol treatment counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a must, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support so that rehab clients can know that they're not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services might be more tailored for each person to ensure that their particular challenges can be treated in treatment.