Hearing impaired individuals tend to have a heightened chance of substance abuse issues due to their impairment, and treatment services should be at hand which serves their needs. Individuals who are hearing impaired can appear isolated, lack motivation, 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 problems that accompany possessing this handicap in everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their problem due to social stigmas attached to drug use. However, drug rehab counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL treatment services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support in order that rehab clients can know they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services could be more tailored for each individual to ensure that their particular problems can be handled in treatment.