Hearing impaired persons tend to have a heightened likelihood of substance abuse issues because of the impairment, and treatment services should be available which cater to their needs. Those who are hearing impaired can seem to be isolated, lack motivation, and be without goals for their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional problems that accompany having this handicap in daily life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their problem as a result of social stigmas that come with drug abuse. Nonetheless, drug and alcohol rehabilitation counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a must, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support to ensure rehab clients can know that they are not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services may be more tailor-made for each person to ensure that their own personal challenges can be treated in treatment.