Hearing impaired individuals generally have a heightened probability of substance abuse issues because of their impairment, and treatment services have to be available which cater to their circumstances. People who are hearing impaired can feel alone, unmotivated, and goalless because of their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that come with having this handicap in everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may try and hide their problem because of social stigmas that come with drug use. Nonetheless, drug and alcohol rehabilitation counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are of course a must, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support in order that treatment clients can know that they are not on their own, and that there's hope to handle their problem with alcohol and drugs. Individual counseling services could be more tailor-made for each individual so that their unique challenges can be addressed in rehabilitation.