Hearing impaired persons generally have a greater likelihood of drug abuse issues because of the impairment, and treatment services must be available to them which serves their circumstances. Individuals who are hearing impaired can appear alone, lack motivation, and be without goals for their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany possessing this handicap in everyday life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their problem due to social stigmas attached to abusing drugs. However, drug and alcohol treatment counselors who offer rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support in order that rehab clients can know they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services can be more tailored for each person to ensure that their own challenges can be treated in treatment.