Hearing impaired individuals tend to have an increased likelihood of drug abuse issues due to their impairment, and treatment services have to be available which serves their needs. Individuals who are hearing impaired can feel alone, unmotivated, and be without goals due to their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that come with having this handicap in daily life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their issue because of social stigmas attached to substance abuse. However, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions so 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 might be more tailored for each person to ensure that their particular challenges can be handled in rehab.