Hearing impaired persons generally have an increased likelihood of substance abuse issues because of the impairment, and treatment services have to be at hand which serves their needs. People who are hearing impaired can seem to be alone, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological problems that accompany possessing this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may try and hide their issue because of social stigmas attached to drug use. However, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a necessity, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support to ensure rehab clients can know that they're not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services might be more tailor-made for everybody to ensure their own problems can be treated in rehab.