Hearing impaired persons generally have a heightened probability of substance abuse issues because of the impairment, and rehabilitation services should be available to them which cater to their circumstances. Individuals who are hearing impaired can feel isolated, unmotivated, and goalless for their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that accompany possessing this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, because these individuals may try and hide their problem due to social stigmas that come with drug abuse. However, drug treatment counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions in order that treatment clients can know they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services might be more tailor-made for each individual so that their particular challenges can be remedied in treatment.