Hearing impaired individuals tend to have an elevated likelihood of substance abuse issues because of the impairment, and treatment services have to be at hand which serves their circumstances. People who are hearing impaired can seem to be alone, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that come with possessing this handicap in everyday life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may try and hide their problem because of social stigmas attached to drug use. Having said that, alcohol and drug rehabilitation counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are definitely a must, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions so that treatment clients can know that they're not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services could be more tailor-made for each individual to ensure their particular challenges can be handled in treatment.