Hearing impaired individuals generally have a greater chance of drug use issues because of the impairment, and rehabilitation services must be at hand which serves their circumstances. Those who are hearing impaired can seem to be alone, unmotivated, and goalless due to their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany possessing this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may try and hide their problem as a result of social stigmas that come with abusing drugs. However, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy provides 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 problem with drugs and alcohol. Individual counseling services may be more tailor-made for each individual to ensure that their own problems can be handled in rehab.