Hearing impaired individuals tend to have a greater likelihood of substance abuse issues because of their impairment, and treatment services should be available which cater to their needs. Individuals who are hearing impaired can seem to be isolated, lack motivation, and goalless 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 release from the emotional and psychological challenges that accompany having this handicap in life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, since these individuals may try and hide their problem because of social stigmas attached to drug abuse. Having said that, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure treatment clients can know they are not on their own, and that there's hope to resolve their problem with alcohol and drugs. Individual therapy services could be more tailor-made for each person so that their particular problems can be handled in rehabilitation.