Hearing impaired individuals generally have a greater likelihood of substance abuse issues because of their impairment, and rehabilitation services should be available which serves their circumstances. Individuals who are hearing impaired can seem to be alone, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that accompany having this handicap in life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, as these individuals may try and hide their problem as a result of social stigmas that come with abusing drugs. Nonetheless, alcohol and drug rehabilitation counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a necessity, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions in order that rehab clients can know that they're not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailor-made for each person to ensure their own problems can be treated in treatment.