Hearing impaired individuals tend to have an increased likelihood of drug use issues because of their impairment, and treatment services have to be available to them which serves their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological problems that come with having this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may make an attempt to hide their problem as a result of social stigmas that come with drug abuse. Having said that, drug and alcohol rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges that 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 venue for important peer support to ensure that rehab clients can know that they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services might be more tailor-made for each individual to ensure that their own challenges can be handled in rehabilitation.