Hearing impaired individuals tend to have an increased probability of drug use issues because of their impairment, and rehabilitation services have to be available to them which cater to their circumstances. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that come with having this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their problem as a result of social stigmas attached to drug use. However, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a must, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions to ensure that treatment clients can know that they are not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services might be more tailored for each individual to ensure their unique problems can be remedied in treatment.